AI Agents for Behavioral Health
Predictable Revenue for Unpredictable Treatment Cycles
AI Agents designed for the realities of behavioral health: ongoing care, frequent re-auths, and benefits that change mid-treatment.
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MEET THE AI AGENTS
Trained to automate behavioral health's trickiest RCM workflows
EVA: Eligibility Verification AI Agent
Know if patients are covered before they walk in
Checks insurance eligibility before every patient visit
Catches coverage lapses and benefit changes in real-time
Spots when prior authorization is needed (before scheduling)
Updates patient records so your front desk always has up-to-date information
PAULA: Prior Authorization AI Agent
Get treatment approvals faster and with less hassle
Fills out tedious prior auth forms automatically
Attaches the exact clinical documentation each payer wants
Sends request to the right portal (no more guessing which one)
Tracks approval status so nothing falls through the cracks
CAM: Claims Processing AI Agent
Submit clean claims automatically
Creates claim batches and scrubs for errors before submission
Flags and resolves missing information and applies payer-specific rules
Submits claims through a clearinghouse or directly to payers
Identifies and removes duplicate claims
CODY: Coding & Notes Review AI Agent
Get your coding right the first time
Reviews medical notes and extracts key details
Validates codes against payer rules and documentation
Corrects missing CPT codes, modifiers, and diagnosis issues
Flags complex cases for medical coder review
DAN: Denials Management AI Agent
Turn every denial into a clear next step
Categorizes denials by type and identifies root causes
Routes complex denials to the appropriate team with clear instructions
Automatically corrects and resubmits simple errors (missing codes, typos)
Generates templated appeal letters with payer-specific documentation requirements
ARIA: Accounts Receivable AI Agent
Collect more money from aging accounts
Tracks every outstanding payment and prioritizes by collection probability
Calls payers directly to get specific claim status and payment timelines
Submits additional documentation when payers request it
Corrects claim errors and resubmits for faster resolution
PHIL: Payment Posting AI Agent
Post payments in minutes, not hours
Matches payments to the right patients and dates
Integrates 835 remittance files directly into your EHR
Handles partial payments, adjustments, and multi-payer scenarios
Finds missing payments from payer portals
FEATURED CASE STUDY
Behavioral Health Works
BHW turned to AI Agents and delivered 400% faster payment processing and 100% automated insurance eligibility, eliminating months of manual work.
400%
increase in payment processing
100%
automated insurance eligibility
AI Agents used
Eva
Eligibility Verification
CAM
Claims Management
PHIL
Payment Posting
Behind the Scenes
Seven Agents, one predictable revenue cycle
Pick an AI Agent
Where should we begin?
Let's discuss your biggest RCM challenges and identify the best starting point for your organization.
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An RCM expert will contact you within one business day to discuss your revenue cycle automation goals.