AI Claims Management
ClaimAI places outbound calls to payers on your behalf — checking status, resolving denials, and logging results back into your billing system. No hold music. No manual notes.
Reduction in cost per claim follow-up call.
More claims worked per AR rep per day.
Automated payer calls completed to date.
HOW IT WORKS
ClaimAI calls payers, navigates IVR trees, speaks with reps, and returns structured data. Your team reviews results, not hold queues.
your EHR/PMS. ClaimAI ingests claim IDs, payer info, and patient data automatically.
Our voice agent calls the payer, navigates the IVR, and speaks with a rep to get real-time claim status, denial reason, and next steps.
Structured results — claim status, adjustment codes, rep notes — are returned via webhook or CSV and pushed into your billing system.
FEATURES
Everything your billing team needs to work more claims, faster — without adding headcount.
Calls any payer line — commercial, Medicare, Medicaid, or specialty. Handles hold times, IVR navigation, and rep transfers without human intervention.
Automatically re-works denied and underpaid claims by gathering denial codes, asking for reconsideration timelines, and flagging appeals opportunities.
Every call returns a structured record: claim status, rep name, reference number, next action, and full call transcript — ready to push to your PM or billing system.
Bring your own script or use our templates. Fully customizable for your payer mix, specialty, and follow-up workflows — no engineering required.
INTEGRATIONS
Stop chasing payers. Let Claim AI handle submission, tracking, and corrections automatically.
FAQS
Most practices go live within 5–7 business days. We handle all integration setup on our side.
We support Dentrix, Eaglesoft, Open Dental, Curve, Carestream, and 12+ more PMS platforms.
No. MILA agents update automatically. You never need to retrain or reconfigure anything.
We are HIPAA compliant with AES-256 encryption, SOC 2 Type II in progress, and 99.99% uptime SLA.
Yes. Our Verification API lets developers build real-time verification infrastructure into any workflow.
Absolutely. MILA is purpose-built for scale. We support single practices up to 100+ location DSOs.
