Automate underpayment recovery
end-to-end using AI
Ember compares every remittance against your payer contracts and fee schedules, catches payments that come in short, and prepares recovery — most underpayments are never even detected manually.
Trusted by specialty groups and health systems
Why Ember?
Every claim checked
100% of remits validated against contract terms, not a sampled audit.
Contract-grounded math
Expected allowables computed from your actual fee schedules and terms.
Variances classified
Underpaid, bundled, or misapplied — each discrepancy labeled with cause.
Recovery that sticks
Disputes ship with the contract citation and math attached.
What the underpayments agent does
01
Automate underpayment recovery end-to-end using AI
Ember reliably ingests remittance data, calculates the expected allowable from your contract terms, and flags every claim paid below contract — then assembles the documentation to get it corrected.
02
Build recovery packets from any contract
Ember recognizes contract terms, fee schedules, and payment data and automatically maps them into variance calculations and recovery documentation, getting smarter over time.
03
Human-in-the-loop verification
Staff review flagged variances and approve recovery actions before anything goes to the payer. Every calculation shows its contract basis, and every dispute is logged.
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 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 agentRevenue Integrity
Validates coding and documentation before claims go out — catching undercoding and denial-prone errors.
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 payments
Reads ERAs and posted payments from your billing system.
02
Compute expected allowables
Applies contract terms and fee schedules to each claim.
03
Flag and document variances
Builds the recovery case with contract citations.
04
Track to resolution
Monitors each dispute until the payment is corrected.
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 variance shows the contract term and calculation behind it.
Versioned history of disputes, payer responses, and recoveries.
Thresholds and payer rules configurable per contract.