Revenue Cycle AI Platform

Stop Losing Revenue.
Start Predicting It.

ARIA is an AI-native revenue cycle management platform with 11 autonomous agents, and G-ARVIS quality scoring. Predicts denials before submission, recovers lost revenue autonomously. Built from 28 years of healthcare RCM production experience.

Launch Interactive Demo Schedule Enterprise Demo
$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

11 Autonomous AI Agents

11 specialized agents working together across the entire revenue cycle — orchestrated by a master agent, and quality-scored with G-ARVIS.

🎯

Master Orchestrator Agent

Routes claims across the agent mesh. Manages state, parallelism, and quality gates. Coordinates all 10 downstream agents.

11
Agents orchestrated
🛡️

Denial Predictor Agent

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
🔬

Coding Validator Agent

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
🔑

Auth Checker Agent

Real-time prior authorization verification against payer portals. Prevents the #1 denial reason — missing auth — before claim submission.

38%
Denial category eliminated
💰

Revenue Recovery Agent

Autonomous identification of undercoded claims, missed charges, and contract underpayments. Surfaces revenue you didn't know you were losing.

$2.1M
Avg annual recovery per facility
📊

A/R Optimizer Agent

Prioritizes collection workflows by recovery probability, payer behavior patterns, and aging. AI-driven triage replaces manual worklists.

-18 days
Reduction in days in A/R
🔗

Payer Intelligence Agent

Tracks payer-specific rules, reimbursement patterns, and fee schedule variances. Detects underpayments and denial pattern shifts automatically.

340+
Payer rules tracked
📋

Contract Auditor Agent

Continuously audits payer payments against contracted rates. Identifies underpayments and auto-generates appeal documentation.

🛡️

G-ARVIS Quality Engine

Six-dimension heuristic quality scoring of agent outputs: Groundedness, Accuracy, Reliability, Variance, Inference Cost, Safety. The open-source scorers are in the Apache-2.0 ARGUS-AI library; scores are trend signals.

🔄

Aether Correction Layer

Aether is the output-correction layer in this product. When an output scores below threshold it is revised and re-checked, with a bounded number of retries. It reduces errors; it does not guarantee correct output, and high-risk outputs still go to human review. Separate from the open-source ARGUS-AI scoring library.

⚡

Workflow Agent

Routes claims, assigns tasks, and escalates exceptions. Replaces manual worklists with AI-driven triage and auto-resolution.

G-ARVIS AI Observability Engine

Six-dimension heuristic quality framework. The open-source implementation (ARGUS-AI, Apache-2.0) uses rule-based scorers and has no benchmarks against labelled data.

Groundedness
Word overlap with source context
Accuracy
Token F1 vs. a reference answer, consistency checks
Reliability
Format, length, and latency checks
Variance
Hedging and vocabulary signals in one response
Inference Cost
Token, cost, and latency ratios
Safety
Regex and keyword checks for PII-like patterns and unsafe phrases

Aether Correction Layer

Aether is the output-correction layer in this product. When an output scores below threshold it is revised and re-checked, with a bounded number of retries. It reduces errors; it does not guarantee correct output, and high-risk outputs still go to human review. The open-source ARGUS-AI package below scores and monitors outputs only; it does not correct them.

pip install argus-llm Beta · Apache-2.0 PyPI github.com/anilatambharii/argus-ai

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, Investment & Acquisition

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

Multi-Tenant Architecture

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

Built to Support HIPAA Safeguards

Designed around encryption, audit logging and role-based access. Controls are configurable per deployment, and I support implementation and evidence gathering with your security and compliance team. A SOC 2 or similar audit can be engaged as part of a customer deployment. Certification is established by your own programme and auditors.

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.

Quality scoring — G-ARVIS

Six-dimension heuristic quality scoring on agent outputs, built on the open-source ARGUS-AI library (Apache-2.0).

$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 11 autonomous agents with G-ARVIS quality scoring. The correction step shown is a simulation of the planned ARGUS Platform. No signup required.

Launch Interactive Demo

Enterprise, Investment & Acquisition Inquiries

ARIA is available for enterprise deployment, strategic investment, partnership, and acquisition conversations.

Schedule Enterprise Demo Connect on LinkedIn
Partnership, Investment & Acquisition
Acquisition / Partnership Inquiry → Investment Inquiry →
Built to support HIPAA
Audit support available
AWS / Azure / GCP
Multi-Tenant
Terraform / K8s
FHIR R4
11 Autonomous Agents