AI-POWERED MEDICAL & DENTAL BILLING

Turn denied claims into recovered revenue.

Sterling's AI claim engine scrubs, predicts and auto-corrects every claim in real time, while certified billing experts fight for every dollar your practice is owed.

Sound familiar?“Our denials keep piling up.”
Book a Free Pilot →
0%
Denial rate target*
0%
Clean claim rate target*
0 days
Days in AR target*

*Industry benchmarks (HFMA, MGMA, Kodiak Solutions) we're built to hit, Sterling has no live clients yet to report measured results from.

🤖AI Claim EngineIllustrative demo, how a claim moves through Sterling's AIDEMO
Clean claim rate target
0%
Denial rate target
0%
Days in AR target
0
Eligibility verified
Aetna · coverage active
0.2s
AI scrub & coding
ICD-10 · CPT · modifiers
1.1s
Denial risk: low
auto-corrected 2 issues
0.6s
Submitted clean
claim #48213 · paid
0.3s
Clean claim probability98.4%
Specialties we bill for

We work inside your systems

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.

EHR / EMR
EpicCernerathenahealtheClinicalWorks NextGenAllscriptsDrChronoPractice Fusion
Practice Management
AdvancedMDKareo / TebraCareCloudGreenway
Clearinghouses
AvailityWaystarChange HealthcareOffice Ally TrizettoNavicure

Don't see yours?

THE PROBLEM

Every denied claim is revenue you already earned.

Denials pile upRework eats staff hours and delays cash for weeks.
AR ages past 90 daysThe longer a claim sits, the less likely you collect.
In-house billing is costlySalaries, turnover and training add up fast.
No visibility into leakageYou can't fix revenue you can't see.

Sterling fixes it before submission.

Our AI reviews every claim against payer rules the moment it's created, then our billing team handles the rest, end to end.

AI scrubs codes, modifiers & eligibility
Predicts & auto-corrects high-risk claims
Prioritizes AR by recovery probability
Weekly reporting you can actually read
THE AI CLAIM ENGINE

Four stages. One clean claim.

Every claim runs the same AI-assisted path, with each step verified by a certified billing expert.

01

Verify

Real-time eligibility & benefits checks stop front-end rejections before the visit.

02

Scrub

AI validates ICD-10, CPT & CDT codes, modifiers and payer rules on every claim.

03

Predict

Machine learning flags high-risk claims and auto-corrects them before submission.

04

Collect

Clean claims submit same-day; AI chases AR by recovery probability first.

FULL-SERVICE RCM

Every step of your revenue cycle, covered.

Ten integrated services working together to stop revenue leaking out of your practice.

🗓️

Eligibility Verification

Real-time coverage checks before every visit stop front-end rejections at the source.

front_end
📋

Benefits Verification

Deductibles, co-pays and plan limits confirmed so patients know their responsibility upfront.

front_end
📄

Prior Authorization

Submission, medical-necessity documentation and payer follow-up for faster approvals.

front_end
🔢

Medical Coding

Accurate ICD-10, CPT and HCPCS coding with AI validation on every claim.

mid_cycle
💳

Charge Entry & Billing

End-to-end billing from charge capture through claim creation and submission.

mid_cycle
✈️

Claims Submission

AI-scrubbed clean claims submitted same-day with a 98% clean claim rate.

mid_cycle
🔄

AR Follow-Up

30/60/90+ aging worked by AI recovery-probability score, so the biggest dollars get chased first.

back_end
⚠️

Denial Management

Root-cause analysis, corrections and aggressive appeals that turn denials into payments.

back_end
💰

Payment Posting

Automated ERA/EOB posting, adjustments and patient payment reconciliation.

back_end
📈

Reporting & Analytics

Weekly revenue reports, clean-claim rates, denial trends and real-time KPI dashboards.

insight
INSIDE THE PLATFORM

The visibility you've never had.

Click through what your practice sees every week.

Sample dashboard data shown for illustration, not figures from a live Sterling client.

Collections trending up, every month

Track exactly what's coming in, and what should be. Sterling flags the gap between what you billed and what you actually collected.

  • Month-over-month collection trend
  • Billed vs. collected variance
  • Revenue leakage alerts
Monthly collections↑ +32%
JanAprJul

Denials falling quarter over quarter

See exactly which payers deny most, why, and what the AI corrected before submission. No more guessing where the money went.

  • Denial rate by payer & reason code
  • AI auto-corrections logged
  • Appeal win-rate tracking
Denial rate↓ −67%
15%5%

AR that actually shrinks

The AI works your aging buckets by recovery probability, not by date. The claims most likely to pay get chased first.

  • Aging buckets by recovery score
  • 90-day+ bucket reduced 72%
  • Average 35 days in AR
AR aging buckets35 days avg
0–30d
31–60d
61–90d
90d+

Know which payers are costing you

Payer-level performance shows who pays fast, who denies most, and where your contracts are underperforming.

  • Reimbursement rate by payer
  • Average days-to-pay per plan
  • Underpayment detection
Payer performance6 active
Medicare
Aetna
BCBS
Cigna
United
HOW WE REPORT

You see the numbers, every week.

Most billing companies send a monthly PDF that tells you nothing. Here's what we report instead, and what we're accountable for.

📊

Clean Claim Rate

What % of your claims are accepted on first submission. If it isn't climbing, we explain why.

⚠️

Denial Rate + Root Cause

Not just how many were denied: which category, which payer, and what we changed to stop it.

⏱️

Days in AR

How long your money sits unpaid, broken down by aging bucket.

💰

Collections vs. Charges

What you billed versus what actually arrived, and where the gap is.

🔁

Appeals Won

How many denials we overturned, and how much that recovered.

📈

Trend, Not Snapshot

Every metric tracked over time, so you can see whether things are actually improving.

Want a free audit of these numbers for your practice? Book a consultation →

ROI CALCULATOR

How much are you leaving behind?

Move the sliders. See what Sterling could recover for your practice.

$250,000drag to adjust
12%industry avg ~9–12% (MGMA)
40 daysHFMA benchmark: 30–40 days

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.

ESTIMATED ANNUAL RECOVERY
+$172,500
additional collections per year
+$14,375
per month
5%
target denial rate
Get My Exact Number →
A free pilot audit gives you the real figure, not an estimate.
THE DIFFERENCE

Sterling vs. traditional billing.

Most billing companies fix errors after denials arrive. We prevent them before the claim leaves.

CapabilitySterling AITraditional billerIn-house staff
Error detection✓ Pre-submission AI scrub✕ After denial✕ Manual, inconsistent
Denial handling✓ Predicted & prevented✕ Reactive appeals✕ Often written off
Clean claim rate✓ 98% target*75–85%70–80%
Submission speed✓ Same day2–5 day batchingVaries with staffing
AR prioritization✓ ML recovery-scored✕ Oldest-first✕ Whoever has time
Reporting✓ Real-time dashboardsMonthly static PDF✕ Rarely produced
Cost model✓ % of collectionsFlat fee + contractSalaries + turnover
Coverage✓ 24/7, never sickBusiness hours✕ PTO gaps

*98% is the clean claim rate benchmark published by the Healthcare Financial Management Association (HFMA), the target our AI is built to reach, not yet a measured Sterling client average, since we have no live clients to report on.

THE TARGETS WE'RE BUILT AROUND

Industry benchmarks, not guesswork.

Sterling is a new company with no live clients yet, so instead of claiming results we haven't measured, here's what we're built to hit, published third-party benchmarks for high-performing billing operations.

0%
Denial rate target
under 5% · MGMA/Kodiak best-in-class
0%
Clean claim rate target
HFMA benchmark
11.8%
Industry-avg denial rate
Kodiak Solutions, 2024
0 days
Days in AR target
30–40 days · HFMA benchmark
🔒 HIPAA Compliant 🎓 HIPAA-Certified Team 📄 BAA on Request 🏛️ U.S. Wyoming LLC 🤝 No Long-Term Contract
QUESTIONS

Everything practices ask us first.

Will this work with our existing EHR?
Almost certainly. We work inside 20+ EHR, EMR and practice management systems, Epic, Cerner, athenahealth, eClinicalWorks, NextGen, AdvancedMD, Kareo/Tebra and more, and connect to every major clearinghouse including Availity, Waystar, Change Healthcare and Office Ally. Our team logs into your existing system, so there is nothing new for your staff to learn.
How does the AI actually reduce denials?
Every claim is scrubbed before submission. The AI checks coding accuracy, modifiers, payer-specific rules and eligibility data, then flags high-risk claims for expert review. Machine-learning models trained on payer behavior predict which claims are likely to be denied and auto-correct them first. This is built to reach the HFMA's 98% clean claim rate benchmark and denial rates under the 5% best-in-class threshold reported by MGMA and Kodiak Solutions, a substantial cut from the 11.8% industry-average initial denial rate Kodiak reported in 2024.
What does it cost?
Pricing is performance-based: a small percentage of what we collect for you. No setup fees, no long-term contract, and the pilot is zero-risk. In practice, most practices pay less than they spend on in-house billing staff while collecting significantly more.
Is Sterling HIPAA compliant?
Yes. Sterling Global Solution LLC is HIPAA compliant. Our team is HIPAA-trained and certified, we sign a Business Associate Agreement (BAA) with every client, and all systems use encryption and role-based access. We are also fully transparent about where PHI is handled. See our HIPAA Compliance page.
What happens during the free pilot?
We audit your current denial rate, AR aging and coding accuracy, then show you exactly where revenue is leaking and how much we can recover. There is no cost and no obligation. If the numbers do not justify working together, we will tell you.
How long until we see results?
Most practices see cleaner claims within the first two weeks, with a measurable drop in denials typically following within the first 60–90 days as the AI's rules calibrate to your payer mix. This is an illustrative timeline, not a measured Sterling client average, we don't have live clients to report actuals from yet.
Do we have to fire our current biller?
No. Many practices start Sterling on a subset of claims or a single payer during the pilot, compare results side by side, and scale up from there. We are comfortable proving it before you commit.
ZERO-RISK PILOT

Start your free billing audit.

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.

  • Free revenue leakage audit
  • No setup fees, no contract
  • Results within 24 hours
  • Works inside your existing EHR
Book a Free Consultation →

🔒 HIPAA compliant · Takes 2 minutes · A real person replies within 24 hours

📅
What you getOn your free consultation call
1
We review your claims

Denial rate, AR aging, top denial reasons.

2
We show you the leaks

Exactly where revenue is being lost, and why.

3
You get a number

What it's worth to fix, in dollars, not promises.

4
You decide

No pressure. No contract. Walk away if it's not for you.

Book Now →

See what you're leaving on the table.

Ask our AI agent for an instant recovery estimate, or book a free pilot. No contract, no setup fees.

Book a Free Pilot →
🤖Sterling AI AgentOnline · instant answers