Revenue Cycle AI Platform

Stop Losing Revenue.
Start Predicting It.

ARIA is an AI-native revenue cycle management platform that predicts claim denials before submission, recovers lost revenue autonomously, and optimizes A/R with multi-agent intelligence. Built from 28 years of healthcare RCM production experience.

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$262B
Annual US Claim Denials
65%
Denials Are Preventable
$25
Avg Cost per Denial Rework
3.2%
Net Revenue Lost to Denials

The $262 Billion Problem

Healthcare organizations lose billions annually to preventable denials, undercoded claims, and inefficient A/R workflows. Legacy RCM systems react after revenue is lost. ARIA prevents it.

86%
of denials are potentially avoidable, yet most organizations only address them after the fact — burning staff time on rework instead of prevention
$4.9M
average annual revenue leakage per mid-size health system from undercoded claims, missed charges, and contract underpayments that go undetected
45 days
average time to resolve a denied claim. Every day in the queue costs money — in staff time, interest, and the probability the claim is never recovered
200+
payer-specific rules, modifiers, and bundling exceptions that human coders must track. AI agents handle this at scale with zero fatigue

Platform Capabilities

Six AI agent modules working together across the entire revenue cycle — from patient access to final payment.

🛡️

Denial Prevention Engine

ML models score every claim's denial probability before submission. Catches missing authorizations, coding mismatches, and payer-specific rules in real time.

94.7%
Denial prediction accuracy
💰

Revenue Recovery Agent

Autonomous agent identifies undercoded claims, missed charges, and contract underpayments across your entire payer mix. Surfaces revenue you didn't know you were losing.

$2.1M
Avg annual recovery per facility
📊

A/R Intelligence

Prioritizes collection workflows by recovery probability, payer behavior patterns, and aging. Reduces days in A/R by focusing effort where it matters most.

-18 days
Reduction in days in A/R
🔬

Coding Accuracy AI

NLP-powered validation of CPT/ICD-10 code assignments against clinical documentation. Catches upcoding risks and documentation gaps before submission.

99.2%
Coding accuracy rate
🔗

Payer Intelligence

Contract analytics engine that tracks payer-specific rules, reimbursement patterns, and fee schedule variances. Detects underpayments automatically.

340+
Payer rules tracked

Workflow Orchestration

Multi-agent system that routes claims, assigns tasks, and escalates exceptions. Replaces manual worklists with AI-driven triage and auto-resolution.

72%
Auto-resolution rate

Technical Architecture

Production-grade, cloud-native architecture built for healthcare scale and compliance.

Ingestion

HL7 / FHIR / X12

Real-time claim and EHR data ingestion via standard healthcare protocols

AI Core

Multi-Agent Engine

Orchestrated AI agents for denial prediction, coding validation, and recovery

Analytics

Revenue Intelligence

Real-time dashboards, trend analysis, and predictive revenue forecasting

Integration

EHR / PM / Clearinghouse

Bidirectional integration with Epic, Cerner, Athena, and major clearinghouses

Integration Ready

Connects to your existing healthcare IT infrastructure on day one.

🏥

EHR Systems

Bidirectional integration with major EHR platforms for clinical data, encounter records, and documentation.

EpicCernerAthenaMeditech
📋

Practice Management

Real-time sync with PM systems for scheduling, patient demographics, and charge capture.

NextGeneClinicalWorksGreenway
🔄

Clearinghouses

Direct claim submission and remittance processing through major clearinghouse partners.

AvailityChange HealthcareWaystar
📊

Analytics & BI

Export revenue intelligence data to your existing analytics and business intelligence platforms.

SnowflakeDatabricksPower BITableau

Built for Scale & Acquisition

ARIA is designed from day one to be integration-ready — whether you're scaling internally or positioning for strategic acquisition.

Multi-Tenant Architecture

Isolated data environments per client with shared compute. Supports enterprise rollout across health systems, IDNs, and RCM service providers.

HIPAA / SOC 2 Ready

End-to-end encryption, audit logging, role-based access, and BAA-ready infrastructure. Compliance is built in, not bolted on.

API-First Design

RESTful APIs with comprehensive documentation. Enables rapid integration into existing RCM workflows and third-party platforms.

Proven Unit Economics

Clear ROI per client with measurable outcomes: denial rate reduction, A/R days improvement, and net revenue lift. Metrics acquirers care about.

Defensible AI Moat

Proprietary models trained on healthcare-specific denial patterns, payer behaviors, and coding intelligence. Performance improves with scale.

$50B+ TAM

Revenue cycle management is a massive, growing market. ARIA addresses the fastest-growing segment: AI-powered denial prevention and recovery.

See ARIA in Action

Walk through a live simulation of denial prediction, revenue recovery, and A/R optimization. No signup required.

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