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. Eligibility verification services
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. Prior authorization services
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, biggest dollars chased first. AR recovery services
Back EndRoot-cause analysis, corrections and aggressive appeals that turn denials into payments. Denial management services
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; an AAPC-certified coding specialist makes the judgment calls.
Eligibility & benefits verified before they walk in. Prior auth started if needed.
AI + humanICD-10 / CPT applied. AI cross-checks codes, modifiers and payer rules.
AI + AAPC-certified coding specialistDenial-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 | Built to 95%+* | 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.
Eligibility verification (EV), benefits verification (BV), prior authorizations, and denial management at no cost for your first 30 days.
No setup fee. No long-term contract.
Before you go, start your 30-Day Free Trial
Eligibility verification (EV), benefits verification (BV), prior authorizations, and denial management at no cost for your first 30 days.
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Our representative will contact you within 24 hours to set up your 30-Day Free Trial.
