Revenue Cycle Management AI

97%+ Clean Claim Rates. Automated from Charge to Payment.

Zabrizon's RCM AI platform embeds into HealthTech products to automate charge capture, pre-submission validation, denial prediction, and payment posting — eliminating revenue leakage and reducing AR days.

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Automated charge capture from clinical documentation
Pre-submission eligibility and authorisation validation
AI denial prediction and prevention before submission
Underpayment detection and contract variance analysis
Automated remittance posting and ERA reconciliation
Real-time RCM performance analytics and benchmarking
97%+
Clean claim rate achieved
23%
Reduction in first-pass denials
18 days
Reduction in average AR days
$4.2M
Avg. annual revenue recovered per health system

Why HealthTech Companies Build RCM on Zabrizon AI

Production RCM AI designed for HealthTech platform integration — not point solutions.

Real-Time Claim Intelligence

Sub-second AI analysis at claim creation — no batch processing delays, no next-day correction windows. Claims are optimised before they're ever submitted.

Payer Rules Engine

Continuously updated payer-specific rules database covering 2,000+ payer and plan-level editing requirements — keeping pre-submission AI current with payer policy changes.

API-First Architecture

REST APIs for every RCM function — charge capture, eligibility, scrubbing, and denial analytics — designed for HealthTech platform integration, not standalone deployment.

Benchmarking & Analytics

RCM performance benchmarking against national peer cohorts — enabling HealthTech platforms to show clients exactly where their revenue cycle stands and what AI is recovering.

RCM Compliance & Data Security

Healthcare billing data security and regulatory compliance built in.

HIPAA / HITECH
PHI protection for all patient billing and claims data
PCI DSS
Payment card data security for patient financial transactions
SOC 2 Type II
Annual third-party audit for security and availability
X12 EDI 837/835
Healthcare claims and remittance transaction standards
CMS Conditions of Participation
Medicare and Medicaid billing compliance requirements
NUCC / AHA Code Sets
National Uniform Claim Committee coding standards compliance

Ready to Embed AI Revenue Cycle Intelligence Into Your Platform?

See how Zabrizon's RCM AI improves clean claim rates and recovers revenue for your customers from day one.