Done-For-You AI Medical Billing
We build and run the AI agents that recover your denied claims, chase prior auths, and audit your billing — while your staff focuses on patients.
Industry benchmarks (AMA 2024 Prior Authorization Survey, MGMA). Not AutomatedRCM performance claims.
What We Do
AutomatedRCM builds and runs AI agents that handle the revenue cycle work medical practices hate. Denied claims get worked and resubmitted. Prior authorizations get checked, requested, and appealed. Your billing gets audited for the money you are quietly losing to undercoding, missed modifiers, and timely-filing deadlines.
It is a done-for-you service, not another software tool to learn. Your team keeps using the systems they already have. The AI does the repetitive work in the background, a human reviews it, and you keep more of what you earn. Founded by Laureen Nicholson, built for small and mid-sized practices, and HIPAA-conscious from day one.
Services
Three focused services that plug into your existing workflow.
Stop losing hours to payer portals and hold music.
Find the revenue your practice is leaving on the table.
We configure and run the agents so your team does not have to.
Free Billing Health Check
Submit a few aggregate numbers (no PHI, no uploads) and get a personalized billing audit that compares your practice to national benchmarks and shows what is recoverable.
Work With Me
Apply below and Laureen will personally scope a done-for-you setup for your practice.
Prefer the fast path? Start with the free billing audit →
Free guide: The 2 AI Agents Changing Medical Billing →
FAQ
AutomatedRCM builds and runs AI agents that handle the revenue cycle work medical practices hate: recovering denied claims, chasing prior authorizations, and auditing billing for missed revenue. It is a done-for-you service, so your staff keeps using your existing systems while the AI does the repetitive work in the background. All output is human-reviewed and HIPAA-conscious.
AI reviews claims before they go out to catch missing information, wrong CPT codes, and modifier gaps that cause denials. It checks payer prior-authorization rules automatically, drafts medical-necessity and appeal letters, and analyzes denial patterns and coding distribution to surface revenue the practice is leaving on the table. The result is fewer denials, faster payment, and far less manual busywork.
It checks whether a procedure needs prior authorization across major payers (UnitedHealthcare, Aetna, Cigna, Florida Blue, Humana, Medicare, Medicare Advantage) and high-volume CPT codes, drafts the medical-necessity letter, tracks the request, and automatically drafts the appeal letter if the payer denies it.
The billing audit analyzes A/R aging, denial patterns, E&M coding distribution, and modifier gaps. It identifies recoverable revenue from denied claims, undercoding, timely-filing deadlines at risk, and the worst-performing payers. How much is recoverable depends entirely on your practice. For context, the average practice denial rate runs 5 to 10 percent (MGMA) and about 65 percent of denied claims are never reworked (AMA), so there is usually money sitting in denials and undercoding. The free audit quantifies your specific number from your own data against these benchmarks. We will not invent a figure for you.
Pricing depends on your practice size, specialty, and which agents you want running, and there is no long-term contract. The best starting point is the free billing audit, which shows the size of the opportunity first, so any investment pays for itself in recovered revenue. Reach out and we will scope a plan that fits.
Yes. AutomatedRCM is built with HIPAA-conscious workflows and human review at every step. The free billing audit is designed to be PHI-free: it works from aggregate numbers, not patient records, so you can see value without sharing protected health information.
No. The AI agents work alongside your existing team and billing software. They take over the repetitive, time-consuming tasks so your staff can focus on patients and higher-value work, not get replaced.
Setup is quick because the agents work alongside your existing systems, with no new software for your team to learn. We map your payers, specialties, and biggest denial drivers, configure the agents to your workflow, and connect them to your inbox and tools. You get a clear timeline when we scope your practice.
Start with a free billing audit at audit.getautomatedrcm.com. Submit a few aggregate numbers (no PHI) and get a personalized report showing where revenue is leaking and what is recoverable. From there we set up the done-for-you agents for your practice.