RCM isn’t broken because teams can’t see the problem. It’s broken because nothing acts on it.

Billing teams drown in follow-up queues. Claims age. Cash slips through the cracks while dashboards show the damage after it's done. The fix isn't more staff — it's claims follow-up automation.

27%

Claims sit unresolved in A/R

Billing teams drown in queues. Claims age. Cash slips through the cracks while dashboards show the damage after it's done. Claims follow-up automation eliminates this entirely.

14 days

Average lag on payer follow-ups

Manual status checks can't keep pace with payer cycles. Every idle day is revenue aging into risk. The only fix is to reduce manual payer follow-up entirely.

80%+

Of follow-ups still done manually

Hours spent on hold, logging into portals, and re-entering status — the exact workload that AI is built to reduce manual payer follow-up from.

Stop analyzing. Start executing.

The Engine isn't a layer on top of your RCM stack. It's the operator inside it — autonomously processing claims, reading signals, contacting payers, and capturing structured status outcomes your team shouldn't have to chase.

Ingests claims requiring follow-up directly from your RCM system for autonomous claims processing.

Prioritizes claims by aging and workflow logic — highest risk worked first.

Executes autonomous payer calls without any manual effort.

Automates payer IVR navigation — pressing prompts, entering medical claim numbers, retrieving status.

Checks payer portals for current status on every claim it tracks.

Captures structured outcomes and pushes next actions back into your workflow.

Five engines, one autonomous loop.

Claim data in. Structured status out. Five payer portal automation steps running autonomous claims processing continuously without waiting on a queue or a person.

Claims Intake

Claims requiring follow-up are ingested from your RCM system — nothing slips through.

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Prioritization

Aging and workflow logic ranks claims by risk. Oldest, highest-value claims are worked first.

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Automated Follow-Up

OSP executes payer calls, navigates IVR systems, and checks portals. No hold time. No manual login.

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Outcome Capture

Every interaction is recorded. Automated claim status checks, next action, and follow-up requirements.

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Workflow Update

Results and next steps are pushed back into your RCM. Your team sees closure, not open queues.

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One platform. Four integrated modules.

CORE MODULE

Ingests claims from your RCM, applies autonomous claims processing logic, and dispatches follow-up actions. The central control layer — every claim tracked end-to-end.

Payer Follow-Up Module

Executes outbound payer calls with full automate payer IVR navigation capability, runs parallel portal checks, and retrieves structured claim status from every contact.

Outcome & Workflow Module

Records every payer interaction through autonomous claims processing and pushes claim status, next actions, and follow-up results back into your RCM workflow automatically.

EHR & Payer Connect

Bi-directional APIs and data sync to your existing EHR, billing system, clearinghouse, and payer stack. No rip-and-replace. The Engine slots in and lights up.

Our AI RCM Product Suite

80% Reduction in Staff Time on Payer Calls

100% Automated Claim Status Tracking

Your Revenue Cycle, Running on Autopilot.

OSP's Agentic AI Revenue Engine automates the most repetitive task in your billing workflow — calling payers to check claim status. It makes the calls, captures the updates, and reports everything in real time, so your team spends zero time on hold.

What It Does:

Automatically calls payers to check claim status
Captures claim updates without any manual follow-up
Logs and reports claim status directly to an Excel sheet
Replaces hours of staff time spent on hold with payers

See It In Action

4x Faster Denial Resolution with AI

5x Reduction in Denial Management Workload

Stop Writing Off Denied Claims. Start Recovering Them.

OSP's RCM Revenue Engine pulls denied claims from any source — EHR, clearinghouse, or manual upload — uses AI to identify the root cause, determines the best course of action, and automates the entire resolution workflow.

What It Does

Identifies root cause of every denial using AI
Auto-generates appeal letters tailored to payer requirements
Resubmits claims or routes complex cases to staff
Tracks every denial from identification to resolution

See It In Action

95%+ First-Pass Clean Claim Rate

50% Reduction in Manual Claim Review

Every Claim Scrubbed Before It Leaves Your Office.

OSP's AI Claims Scrubbing Agent validates every claim before submission — checking coding accuracy, payer rules, NCCI edits, and eligibility in real time. It catches the errors, suggests the fixes, and routes clean claims to the payer.

What It Does

Automatically validates CPT, ICD-10, and HCPCS codes against payer-specific rules
Catches coding errors, missing modifiers, and bundling violations before submission
Verifies patient eligibility, prior auth, and COB in real time
Routes clean claims to payer and flags dirty claims with specific fix instructions

See It In Action

Solutions We Delivered

Mental Health PM+RCM Solution

Built a customized solution to improve revenue cycle and practice management workflows in a mental-health center.

55%

reduction in claims losses

View Case Study

Doctors on Demand Platform

Developed a telehealth platform with virtual streaming capabilities to improve care accessibility and patient engagement.

60%

improvement in home care experience

View Case Study

Ultrasound Analysis and Telehealth

Created an AI-powered ultrasound streaming solution with telehealth capabilities to solve real-time remote diagnosis challenges.

50%

improvement in diagnosing abnormalities

View Case Study

Advanced RPM With Telehealth

Integrated advanced RPM with telehealth and chatbot capabilities to improve chronic care and real-time tracking of patients.

60%

of patients reported a better overall experience

View Case Study

Suicide Risk Assessment and Prevention Software

Developed RPA-powered diagnostic tool to prevent suicide risks in veterans and foster clinical decision-making.

50%

improvement in diagnostic accuracy

View Case Study

Senior Home Care Management Solution

Developed a digital home care solution that improves patient-provider communication, remote care and care coordination.

50%

greater accuracy in health assessment

View Case Study

Built for

For the teams running real revenue cycles.

Best fit: organizations managing 10,000+ claims per month who need consistent, scalable payer follow-up execution to reduce AR days in healthcare without adding headcount.

Real-Time Healthcare Claim Error Detection with AI Dashboards

RCM Firms & Billing Companies

Run more books with the same headcount. The Engine handles the payer follow-up work your analysts repeat every day — plugged into your existing tech stack.

Learn More

How to Implement FHIR with Epic, Cerner, and Other EHR/EMR Platforms

High-Volume Providers & Multi-Location Groups

Scale follow-up throughput without scaling billing teams. Ideal for group practices, specialty chains, and hospital networks.

Learn More

Why Enterprise EHR Integration Fails After Go-Live and How to Prevent It

Provider Revenue Cycle Teams

Reduce follow-up backlog, improve execution consistency, and relieve A/R pressure — without adding headcount.

Learn More

Hear From Our Clients

We've reached out and found companies like OSP to create our technology. This is my first time working with a company that has been so thorough. These guys are amazing. If you really are looking for someone for a technology solution, these guys are the real deal.

Stephen Carter

Co-Founder Home Health Pro

We approached OSP for a technology solution estimate and were impressed by their professionalism and clarity. Confident in their approach, we moved forward quickly. Their team stayed on schedule and within budget, providing regular updates. For future development needs, OSP will be our first choice.

Selita Jansen

Vice President Operations Health Solutions, LLC

Voi is dedicated to ending suicides globally with two solutions: Voi Detect, a validated suicide risk assessment, and Voi Reach, an AI-driven support app. OSP played a crucial role in transforming our concepts into commercially successful, award-winning solutions. I sincerely appreciate their invaluable support.

Rick Johnson

CEO, Voi Health

Frequently Asked Questions

How do we automate payer follow-up without adding more personnel?

OSP's AI Revenue Engine automates follow-up with payers by handling calls, IVR paths and checking the portals on its own. This reduces the amount of time spent on manual payer follow-up by 40-60%. Your team can then concentrate on resolving issues instead of continuously chasing down the status of your claims - requiring no additional staff to accomplish this.

What is agentic AI in healthcare revenue cycle management (RCM)?

Agentic AI in RCM is actually agentic AI is the use of fully autonomous software applications to process electronic healthcare claims in RCM. This software will independently ingest an electronic claim and complete all processes; including contacting the payer for claim status updates and updating the claim workflow - without any human intervention. Agentic AIs also continuously act upon all claims in the RCM process at all times, not merely provide passive dashboards of the status of individual claims.

Can AI call insurance payers automatically?

Yes. OSP's Engine executes outbound payer calls and automates payer IVR navigation pressing prompts, entering claim numbers, and retrieving automated claim status checks without any human on the line. Hence no hold time and no agent required.

How do billing companies scale payer follow-up efficiently?

Claims follow-up automation lets billing companies run more client accounts without growing headcount. Healthcare collections automation will be able to do everything from payer calls to IVRs and portals for every claim without increasing costs.

Can Denial Follow-Up Be Automated With AI?

OSP aims at upstream claim status follow-up by using automated claim status verification, which will ensure that any payer response is captured early on, to prevent things from getting out of hand.

How can healthcare organizations reduce AR days faster?

Reducing AR days in healthcare requires faster payer follow-up execution. Healthcare collections automation eliminates the 14-day average lag on manual status checks continuously chasing claims across calls, IVR, and portals so aging buckets shrink faster.

Can software log into payer portals automatically?

Yes. Payer portal automation retrieves automated claim status checks from payer web portals continuously no manual login, no manual search, no repetitive data entry. Status is always current and pushed directly back into your RCM workflow.

What are some of the AI tools that integrate with Epic for payer follow-ups?

The OSP AI Revenue Engine is built for Epic claims automation, it integrates with Epic via two-way API integration and is thus well suited for automating claims follow-ups since it communicates directly without the need for any middleware technology or changes to existing systems. The engine retrieves claims data from Epic, performs follow-ups, and then places the structure back into Epic.

Is AI better than outsourced payer follow-up teams?

Healthcare collections using AI can be automated and work continuously, where they are not fatigued, or have any hold times, or have costs per claim. Additionally, it can be scaled immediately, will continue to perform consistent automated claims status checks, and would send structured claims status information back at a significantly lower cost than using outside service contractors.

What tasks of revenue cycle management could be automated by AI?

AI revenue cycle software automates claim intake, autonomous claims processing, payer calls, IVR navigation, portal checks, and outcome capture today. Claims follow-up automation handles the entire payer contact cycle structured status delivered without manual intervention.

Stop chasing payers. Start closing claims.

RCM isn’t broken because teams can’t see the problem. It’s broken because nothing acts on it.

Stop analyzing. Start executing.

Ingests claims requiring follow-up directly from your RCM system for autonomous claims processing.

Prioritizes claims by aging and workflow logic — highest risk worked first.

Executes autonomous payer calls without any manual effort.

Automates payer IVR navigation — pressing prompts, entering medical claim numbers, retrieving status.

Checks payer portals for current status on every claim it tracks.

Captures structured outcomes and pushes next actions back into your workflow.

Five engines, one autonomous loop.

Claims Intake

Prioritization

Automated Follow-Up

Outcome Capture

Workflow Update

One platform. Four integrated modules.

Payer Follow-Up Module

Outcome & Workflow Module

EHR & Payer Connect

Our AI RCM Product Suite

Your Revenue Cycle, Running on Autopilot.

What It Does:

Stop Writing Off Denied Claims. Start Recovering Them.

What It Does

Every Claim Scrubbed Before It Leaves Your Office.

What It Does

Outcomes, not optics.

Integration & Compatibility

Solutions We Delivered

Mental Health PM+RCM Solution

Doctors on Demand Platform

Ultrasound Analysis and Telehealth

Advanced RPM With Telehealth

Suicide Risk Assessment and Prevention Software

Senior Home Care Management Solution

Works With What You Already Use

For the teams running real revenue cycles.

RCM Firms & Billing Companies

High-Volume Providers & Multi-Location Groups

Provider Revenue Cycle Teams

Hear From Our Clients

Frequently Asked Questions

Ready to automate your payer follow-up?

Connect With Us

Let’s Build Your Project

Stop chasing payers.
Start closing claims.