Keep more of what you earn
- Recapture time and expenses
- Eliminate costly errors
- Get paid faster
Automated Insurance Claim Processing by MediSprout, featuring 7 therapists-inspired capabilities
1. Automated Eligibility Checks
Remove eligibility errors that can delay payments or lead to claim denials. MediSprout automatically checks your patient’s insurance eligibility before the visit. AI-driven tools flag coverage gaps, copay expectations, and prior authorization requirements.
2. Smart Claim Creation
Close the doors to wasted time and errors that come from manual input of CPT and diagnosis codes, or from relying on a biller to input. MediSprout uses structured clinical data and built-in rules to automatically complete fields with the right codes and modifiers—radically reducing errors and saving time and money.
3. AI-driven Claim Scrubbing
Stop rejections that come from mistakes that can happen anywhere in the claims process. MediSprout AI-driven claim scrubbing checks for more than 50 common rejection triggers before the claims are sent. Issues are flagged or corrected automatically.
4. Seamless, Direct Claim Submission
End reliance on slow, costly, and complex middleware or third parties to process insurance claims. MediSprout features a built-in smart clearinghouse pipeline, so claims go straight to the insurer. No third-party routing, no exports, and no duplicate logins required. Just less friction and faster payment.
5. Denial Detection + Smart Resubmission
Stop dedicating staff time and revenue to the manual review of explanations of benefits (EOBs), code deciphering, and denied claims appeals. Automated claims processing from MediSprout uses AI to analyze EOBs, identify the reason for denial, and pre-fill corrected claims or appeal letters. Save hours per claim and recover lost revenue.
6. Real-time Claims Tracking + Status Updates
No more waiting in the dark or guessing about the status of a claim after it’s submitted. Automated insurance claims processing by MediSprout provides real-time status updates, from submission to acceptance to payment or denial. No surprises. Slowed or delayed responses are flagged. And rejected claims are proactively resubmitted.
7. Payment Reconciliation
Know if you’re being underpaid or not paid at all. MediSprout matches payments to claims automatically. Underpayments are flagged and up-to-date dashboards document and display what you’ve billed and what you’ve been paid. Transparency and control, automatically.