Agentic Intelligence for Medical Billing
Curious about Spencers capabilities?
Claim Preparation
Spencer reviews the service details, procedure codes, and diagnosis codes from your EHR system, ensuring all required billing information is complete and accurate.
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Policy Verification
Spencer cross-references payer-specific policies, regulatory guidelines, and clinic billing rules to validate coverage and requirements before claim submission.
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Error Detection
Spencer proactively identifies potential claim issues, from missing modifiers to incorrect code combinations, and guides you through necessary corrections to prevent denials.
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Submission & Tracking
Spencer submits clean claims and monitors their status, alerting you to any denials or payment discrepancies while providing guidance for quick resolution.
Next-Gen Billing: Smart Claims, Maximum Returns
Automated policy compliance checks with proactive error detection
Dynamic compliance with payer-specific requirements and regulatory guidelines
Intelligent cross-referencing of clinical documentation against billing requirements
Self-improving validation rules based on payer responses and denial patterns
Real-time synchronization with payer rule updates
Sub-second validation against thousands of billing rules
Contextual guidance for error correction with suggested fixes
HIPAA-compliant end-to-end claims management
>95% first-pass acceptance rate through intelligent validation
60% reduction in denial-related revenue loss
Seamless processing from 1,000 to 100,000+ monthly claims
Real-time dashboard tracking claim success rates, denial patterns, and revenue impact
