From eligibility verification to final payment posting, ten integrated services, all AI-enhanced, all under one roof.
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 reach a 98% clean claim rate (HFMA benchmark).
mid_cycle30/60/90+ aging worked by AI recovery-probability score, biggest dollars 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.
insightSame path, every claim. AI does the repetitive checks; a certified coder makes the judgment calls.
Eligibility & benefits verified before they walk in. Prior auth started if needed.
AI + humanICD-10 / CPT / CDT applied. AI cross-checks codes, modifiers and payer rules.
AI + certified coderDenial-risk model scores the claim. High-risk claims get corrected, not submitted.
AIClean claim goes to the clearinghouse. No batching, no waiting.
AutomatedERA/EOB auto-posted and reconciled. Variances flagged for review.
AI + humanAnything unpaid is chased by recovery probability. Denials get root-caused and appealed.
AI + humanEvery service above is included in your rate. We don't charge separately for appeals, reporting, or a dedicated account manager. That's how it should work.
| Capability | Sterling AI | Traditional biller | In-house staff |
|---|---|---|---|
| Error detection | Pre-submission AI scrub | After denial | Manual, inconsistent |
| Denial handling | Predicted and prevented | Reactive appeals | Often written off |
| Clean claim rate | 98% target* | 75-85% | 70-80% |
| Submission speed | Same day | 2-5 day batching | Varies with staffing |
| Appeals | Unlimited, included | Often billed extra | Time-limited by staffing |
| Reporting | Real-time dashboard | Monthly PDF | Whatever you build |
| Cost model | % of collections | Flat fee + contract | Salaries + turnover |
*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.
Book a free, zero-risk pilot audit. No setup fees, no long-term contract.
