AIE Technology Solutions, Inc.

Our use of AI and machine learning to intelligently process claims, denials, and insurance payment issues will be handled automatically. Our machine learning system will be continuous learning based on payer responses, user actions, and other relevant actions on claims. This information can be aggregated and utilized to process claims for other healthcare organizations to reduce errors amongst varying groups. This will decrease the cost to collect, allow for more accurate timely claims submission, as well as automated rework of the most common denials without human intervention. With staff no longer burdened by these time consuming and mundane tasks, the human capital contributions can be shifted to support higher-level functions. Additionally, by removing the excess administrative and cost to collect costs, healthcare organizations will be able to reallocate resources towards improving patient care. Lastly, leveraging this solution will provide an avenue to mitigate risk associated with fraud/abuse as the solution provides automation.
The revenue cycle process has been stagnant since its inception. The healthcare industry is constantly evolving, yet the revenue cycle process and the manner in which the process is executed has been left virtually unchanged. This is because the primary focus of businesses in the healthcare software industry has been on electronic medical record systems, leaving the need to innovate the associated revenue cycle process neglected. Our product seeks to reimagine the revenue cycle construct by utilizing artificial intelligence and machine learning.
Our product will streamline this neglected process by reducing manual labor and errors. The best systems such as Epic, Cerner, and Meditech rely upon rules that are manually inputted by the users to aid in the circumvention of human error. There are thousands of rules based on a myriad of factors that must be continually maintained and updated. These products are not available to the majority of small to mid-level healthcare organizations due to their high costs and continued maintenance expenses.
Our market is twofold and encompasses both facilities and provider practices. Facilities (i.e. hospitals) bill on a UB-04 claim form for institutional care whereas outpatient and professional services are rendered on a CMS 1500. The revenue cycle flow for both segments of billing is very similar and allows for the technology to be leveraged for customers of both billing types.