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MedProRCM

Get claims paid faster, with denials caught before submission.

MedProRCM unifies eligibility, coding, scrubbing, claim submission, denials and appeals, EDI 837/835 reconciliation and cash posting — governed by HIPAA, PCI-DSS and SOX controls and an AI agent layer with human-in-the-loop review.

No setup required — sandboxed demo workspaces are pre-loaded with synthetic claims, denials and remittances. No real PHI.

Screenshot of the live MedProRCM productOpen the MedProRCM demo (opens in a new tab)
8
RCM categories
8
Workflow steps
4
Reliability groups
6
Compliance frameworks

Outcomes customers see

78%
average agent-assisted automation rate
Pre-submission
denial detection before claims go out
$2.4M
projected annualized savings modelled in demo

Capabilities

End-to-end RCM workflow

Eligibility, coding, scrubbing, submission, denials and appeals, EDI 837/835 reconciliation and cash posting in one flow.

AI agents with human review

An agent layer drafts and auto-fixes work, but every consequential step stays human-in-the-loop and audit-logged.

Role-scoped worklists

Admin, Compliance, Coder, Billing and Clinical roles each get exactly the access their job requires.

HIPAA · PCI-DSS · SOX controls

Compliance scans, auto-fix and regulatory report exports built into the platform, not bolted on.

Vendor and category intelligence

Healthcare and industrial taxonomies with vendor comparison across the revenue cycle landscape.

Agent analytics

Automation rate, savings projection and reliability tracking on a live command-center dashboard.

Talk to us about MedProRCM

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