Sterling's AI claim engine scrubs, predicts and auto-corrects every claim in real time, then an AAPC-certified coding specialist reviews it before it's submitted.
*Published third-party benchmarks (HFMA MAP Keys, MGMA, Kodiak Solutions), the standard we build around. Sterling is pre-revenue with no client results to report yet.
Our team logs into the software you already use, so there's nothing new for your staff to learn. 20+ EHR, EMR and PMS platforms, plus every major clearinghouse.
Don't see yours?
Our AI reviews every claim against payer rules the moment it's created, then our billing team handles the rest, end to end.
Every claim runs the same AI-assisted path, with each claim reviewed by an AAPC-certified coding specialist before it goes out.
Real-time eligibility & benefits checks stop front-end rejections before the visit.
AI validates ICD-10 and CPT codes, modifiers and payer rules on every claim.
Machine learning flags high-risk claims and auto-corrects them before submission.
Clean claims submit same-day; AI chases AR by recovery probability first.
Ten integrated services working together to stop revenue leaking out of your practice.
Real-time coverage checks before every visit stop front-end rejections at the source.
front_endDeductibles, co-pays and plan limits confirmed so patients know their responsibility upfront.
front_endSubmission, medical-necessity documentation and payer follow-up for faster approvals.
front_endAccurate ICD-10, CPT and HCPCS coding with AI validation on every claim.
mid_cycleEnd-to-end billing from charge capture through claim creation and submission.
mid_cycleAI-scrubbed clean claims submitted same-day, built to the HFMA MAP Keys 95%+ clean claim rate standard.
mid_cycle30/60/90+ aging worked by AI recovery-probability score, so the biggest dollars get chased first.
back_endRoot-cause analysis, corrections and aggressive appeals that turn denials into payments.
back_endAutomated ERA/EOB posting, adjustments and patient payment reconciliation.
back_endWeekly revenue reports, clean-claim rates, denial trends and real-time KPI dashboards.
insightEvery figure below is published third-party data: HFMA, MGMA, Kodiak Solutions and the AMA. None of it is a Sterling client result; we don't have clients yet. This is the environment your claims are competing in right now.
The average initial denial rate climbed to 11.6% in 2025, up from 11.4% in 2024. Provider organizations lost more than $48 billion to final denials and bad debt last year, a 25% jump. Clinical denials, mostly prior-auth and medical necessity, drove almost all of it.
Why it matters to you: every point of denial rate on your charges is cash tied up in rework, and rework more than half of practices never finish.
In the AMA's 2025 survey of 1,000 physicians, 95% said prior authorization delays necessary care and 79% said it pushes patients to abandon treatment. Every one of those touches is staff time spent before a claim can even go out.
Why it matters to you: Sterling runs authorization tracking and submission, so your front desk isn't the bottleneck between the visit and the payment.
HFMA's MAP Keys, the industry-standard revenue-cycle KPIs, put the high-performer clean claim rate at 95% or better. The distance between a typical ~80% and a 95%+ rate is rework, delayed cash, and claims that quietly age past the appeal window.
Why it matters to you: this is the number we build every workflow around, and the first thing your Billing X-Ray measures.
MGMA's 2024 data puts better-performing practices at about 36 days in A/R against a 47-day median. HFMA calls 30-40 days healthy. Every day above that is your revenue working for the insurer instead of for you.
Why it matters to you: shaving 10 days off A/R is cash flow you can actually plan a hire or an equipment purchase around.
See these numbers for your practice, book my Billing X-Ray →
Most billing companies send a monthly PDF that tells you nothing. Here's what we report instead, and what we're accountable for.
What % of your claims are accepted on first submission. If it isn't climbing, we explain why.
Not just how many were denied: which category, which payer, and what we changed to stop it.
How long your money sits unpaid, broken down by aging bucket.
What you billed versus what actually arrived, and where the gap is.
How many denials we overturned, and how much that recovered.
Every metric tracked over time, so you can see whether things are actually improving.
Want a free Billing X-Ray of these numbers for your practice? Book my Billing X-Ray →
Move the sliders. See what Sterling could recover for your practice.
This is an illustrative estimate, not a guarantee, Sterling has no live clients yet to report averages from. It models your numbers moving toward published industry benchmarks: denial rate toward the MGMA/Kodiak best-in-class threshold of under 5%, and days in AR toward the HFMA benchmark of 30-40 days.
Most billing companies fix errors after denials arrive. We prevent them before the claim leaves.
| Capability | Sterling AI | Traditional biller | In-house staff |
|---|---|---|---|
| Error detection | ✓ Pre-submission AI scrub | ✕ After denial | ✕ Manual, inconsistent |
| Denial handling | ✓ Predicted & prevented | ✕ Reactive appeals | ✕ Often written off |
| Clean claim rate | ✓ Built to HFMA MAP Keys 95%+* | Often well below | Inconsistent |
| Submission speed | ✓ Same day | 2-5 day batching | Varies with staffing |
| AR prioritization | ✓ ML recovery-scored | ✕ Oldest-first | ✕ Whoever has time |
| Reporting | ✓ Real-time dashboards | Monthly static PDF | ✕ Rarely produced |
| Cost model | ✓ % of collections | Flat fee + contract | Salaries + turnover |
| Coverage | ✓ No PTO gaps, no turnover | Business hours | ✕ PTO gaps |
*HFMA's MAP Keys put the high-performer clean claim rate at 95%+. That is the standard Sterling builds every workflow around, not a measured Sterling client average, since we are pre-revenue with no client results yet.
Sterling is a new company with no live clients yet, so instead of claiming results we haven't measured, here's what we build toward, published third-party benchmarks for high-performing billing operations.
We'll audit your denial rate, AR aging and coding accuracy, then show exactly how much more your practice could collect. No obligation, no contract.
🔒 HIPAA compliant · Takes 2 minutes · A real person replies within 24 hours
Denial rate, AR aging, top denial reasons.
Exactly where revenue is being lost, and why.
What it's worth to fix, in dollars, not promises.
No pressure. No contract. Walk away if it's not for you.
Ask our AI agent for an instant recovery estimate, or book a free Billing X-Ray. No contract, no setup fees.
