Recover what was denied, underpaid, or left to age

101GenAI recovers what leaves your cycle unnoticed: denials nobody reworked, underpayments nobody caught, accounts aged past collecting.

Faster reimbursement, fewer denials, and less written off at every step

Complete Revenue Cycle, Covered

The platform runs the coverage check before the visit, the coding, the denial, the posting, and the last patient balance.

Audit-Safe by Default

Every code, appeal, and posting is tied to the record it came from, ready to defend.

Built Around Your Workflow

Payer policies, contracts, and CMS updates are encoded into workflows built around your reality.

Set Up and Run With You

Our engineers build the workflow, stand it up alongside your team, and stay on it as payers and contracts change.

THE PROBLEM

Recover what you're owed, before it stops being recoverable

01
The rules keep changing

Payer policies, edit sets, and CMS updates change through the year. By the time a team has caught up on what moved, claims have already gone out under the old rules.

02
The proof is spread across systems

What you delivered sits in notes and charts. What you were owed sits in contracts. What you were paid sits in payer portals. Until those line up, the money is invisible.

03
No capacity for the hard claims

Reworking yesterday's denial always loses to today's batch. So the easy claims get worked, the complex ones age, and the write-off is a decision nobody actually made.

Every patient you miss is money you earned and didn't keep.

You already did the work in the room. The only question is whether it gets counted before the window closes - or quietly slips through a manual review.

solution

The new way to run a revenue cycle - continuous, evidenced, every step

COVER

Cover

Work every step, including the ones that usually wait.

The front end runs clean

Eligibility checked at scheduling and prior auth confirmed before the service, so the claim starts clean instead of getting fixed later.

The middle decides the money

Codes assigned from the documentation, then scrubbed against edits, modifiers, and each payer's own requirements before submission.

The back end gets worked

Denials, aging AR, payment posting, and patient balances handled continuously, not whenever the queue clears.

BUILD

Built around your reality.

No two revenue cycles run the same way. We build yours.

Your payers, your rules

Payer policies, contracts, and edit logic get built into the workflow, so what runs is what you actually work under.

Your systems, not ours

We build around the EHR, billing system, and clearinghouse you already run, instead of moving you onto something new.

Deployed, not handed over

Our engineers stand it up alongside your team, and stay on it as your payers and contracts change.

PROVE

Prove every dollar.

Every figure on the screen opens, down to the line in the note.

Code to evidence

Every code maps to the line in the documentation that supports it and the guideline that permits it.

Coded to what the record says

Codes the documentation supports get claimed. Anything it does not support gets flagged before the claim goes out.

Ask in plain English

Question your own claims data in plain language and get a verified answer back, with the records attached.

RUN

Run it with your team.

Built with you, stood up with you, and kept current with you.

We stay on it after go-live

Implementation is the start, not the handover. Our team keeps the workflow current as payers, contracts, and volumes change.

Our specialists, if you want them

Coders, billers, and AR specialists from our team can work the queues alongside yours. Scope it to the steps where you need the hands.

You still set the guardrails

Routine work runs on its own. Coding calls and medical necessity decisions come to your team, with the context already attached.

The payoff

Get the cycle right, and the revenue follows

Every claim worked in time is money back in the door, a payer held to the contract, and a write-off that never happens.

Collect more of what you billed

Work every denial, underpayment, and aging account, not just the ones that fit in the day.

Keep it through the audit

Conservative by default, with the record and the rule behind every code, appeal, and posting.

No need to hire to keep up

Cover the whole cycle without the coders, billers, and AR callers nobody can find.

The measures

Measures live on the platform

Authorization & Referral

The platform checks whether the service needs an authorization, whether one is on file, and whether the documentation supports medical necessity, before the procedure happens.

Medical Coding & Scrubbing

The platform reads the whole encounter, notes, procedure reports, labs, and imaging, then assigns codes across ICD, CPT, and E&M and scrubs the claim against edits, modifier rules, bundling logic, and payer-specific requirements before submission.

Pre-Registration & Eligibility

The platform checks eligibility at scheduling, confirms active Medicaid, and applies sliding scale criteria before the patient arrives, so coverage is settled before the claim is built.

Charge Capture & Documentation

The platform reconciles documentation against charges across every setting, including behavioral health and telehealth, and flags what was delivered but never captured.

Claim Submission & Clearinghouse

Claims go out electronically through your clearinghouse and get tracked to acceptance. Rejections are caught and corrected instead of sitting in a queue nobody opens until month end.

Why Us

Built around your cycle, and run with your team

Most vendors sell a tool and leave the running of it to a team you don't have. We build the workflow around your payers, your contracts, and your systems, and run it alongside your people.

The old way

One step automated, the other seven left with your team
A tool you buy, then staff and run yourself
One setup, and you bend your process to fit it
When the work needs a person, that person is yours to find
A number with nothing behind it

With 101 GenAI

Every step of the cycle worked, front desk to final dollar
A workflow we build with you and keep current after go-live
Built around your payers, your contracts, your billing system
When the work needs a person, ours step in
Every code, appeal and posting comes with the record it came from
Safety, Security & Integrations

Your data, your control

Privacy and security

SOC 2 Type II audited, HIPAA and GDPR compliant with end-to-end encryption

Flexible deployment

Self-hosted in your VPC or private cloud—your data never leaves your secure environment

Audit-ready

Complete evidence trails with tamper-evident logs for regulatory reviews

Role-based access

Granular permissions aligned with your organizational requirements

Integration Ready

Integration with health records, CRMs, cloud telephony, and cloud providers.

We make sure your data and privacy is in your control

Book a Demo

More use cases

Maximize your value-based payouts

101GenAI continuously tracks care quality across your clinical records to surface and close gaps, ensuring your value-based payouts reflect the care you actually delivered.

Learn more

Capture the MIPS credit you've earned

101GenAI automatically transforms your clinical documentation into audit-ready MIPS results to capture earned credit and protect your Medicare payments.

Learn more

See your measures running on your data

A 30-minute demo, with your priority measure on screen. From spec to insight to action.

Schedule Demo
FAQ

Frequently Asked Questions

Which parts of the revenue cycle do you cover?

All of it, from pre-registration and eligibility through patient collections. Coding and scrubbing, denial management and AR, and payment posting and reconciliation go deepest, because that is where the most revenue moves.

What data can you read?

The records you already keep: clinical notes and charts, charge and billing data, remittance files, payer contracts, and clearinghouse responses. Structured and unstructured. If the evidence is in your data, the platform can use it.

Do the agents act on their own?

Only where you allow it. You configure the line by step, by payer, and by dollar value. Routine, rules-based work runs unattended. Anything needing a human read routes to your team with the full context attached.

We run a particular EHR and billing setup. Is that a problem?

No. The platform connects to the EHR, billing system, and clearinghouse you already run, and sends results back into the systems your team works in. No rip and replace.

What happens when a payer changes its rules?

You upload the updated policy or edit set and the platform re-reads the logic and adapts. There is no rebuild and no re-implementation cycle.

Do you catch coding errors in both directions?

Both. Undercoding leaves money you earned on the table. Coding beyond what the record supports creates audit exposure. The platform is conservative by default and will not claim what the record does not support.

Is this built for an organization our size?

It is built for provider organizations with enough claim volume that the work outruns the team, from multi-site physician groups through to health systems.

Where does our data live?

In your environment, if you want it there. Self-hosted VPC deployment is supported. SOC 2 Type II, HIPAA, and GDPR compliance come standard, with complete audit trails.