Automate revenue integrity
end-to-end using AI
Ember reviews every claim before it leaves the door — validating codes against documentation, catching undercoding and missing charges, and clearing the edits that would come back as denials.
Trusted by specialty groups and health systems
Why Ember?
Pre-bill, not post-mortem
Issues fixed before submission instead of appealed after denial.
Undercoding caught
Documented services and severity that aren't being billed get flagged.
Edits cleared
NCCI, payer, and medical-necessity edits validated up front.
Compliance both ways
Flags undercoding and overcoding — accuracy, not maximization.
What the revenue integrity agent does
01
Automate revenue integrity end-to-end using AI
Ember reliably reads clinical documentation in your EHR, validates the coding and charges against it, and moves corrected, compliant claims into your billing system for submission.
02
Fix claims before they leave the door
Ember recognizes payer edits, coding rules, and documentation requirements and automatically maps each claim against them before submission, getting smarter with every remit.
03
Human-in-the-loop verification
Suggested corrections above your thresholds route to coders for review. Every change shows its documentation basis, and nothing is upcoded without evidence.
Explore more Ember agents
One orchestration layer, purpose-built agents for every step of the revenue cycle.
Prior Authorizations
Verifies requirements, assembles clinical documentation, and submits to payer portals and ePA systems.
Explore the agentBenefits Verification
Checks coverage, plan details, and patient responsibility across payer portals before the visit.
Explore the agentMR Requests
Validates authorization, retrieves the right records from your EHR, and delivers them securely.
Explore the agentPayment Posting
Matches ERAs to claims, posts payments and adjustments, and reconciles against deposits.
Explore the agentAR Follow-Up
Checks claim status in payer portals, resolves holds, and drives outstanding claims to payment.
Explore the agentUnderpayments
Compares every remit against contracts and fee schedules, flags variances, and drives recovery.
Explore the agentDenials Management
Predictive denial scoring, clinical reasoning on root cause, and payer-specific appeals with cited evidence.
Explore the agentMedical Necessity
Evaluates orders against payer criteria, finds documentation gaps, and assembles clinical evidence.
Explore the agentDocumentation
Drafts compliant notes, letters, and forms from EHR data, ready for clinician review and sign-off.
Explore the agentHow it works
01
Ingest documentation
Reads notes, charges, and codes from your EHR.
02
Validate the claim
Checks codes against documentation, edits, and payer rules.
03
Recommend corrections
Flags gaps with the documentation evidence attached.
04
Learn from outcomes
Denial and underpayment signals refine pre-bill checks.
Numbers from live deployments.
Not projections. Not modeled estimates. Measured customer outcomes.
57%
Fewer denials
3.3x
ROI in month one
100+
FTE hours saved / month
+9.3%
Net revenue per appointment
Built for oversight
Compliance & oversight
Every correction traceable to documentation and coding guidance.
Versioned history of pre-bill reviews and coder decisions.
Review thresholds configurable by specialty and payer.