Revenue cycle · Claims · TPA
Verify. Code. Collect.
ClaimPilotAI connects hospitals, clinics, insurers and TPAs on one secure, multi-tenant platform — with AI Agents that suggest, and people who decide.
Financial clearance
Eligibility, estimates, copays and prior auth before the visit.
AI Agent coding
Suggested ICD-10, CPT and modifiers with rationale — humans approve.
Claims to cash
Scrub, submit, adjudicate, post and appeal in one flow.
Payer & TPA ops
Plans, enrollment, pre-auth, funds, stop-loss and SIU.
Integration hub
HL7, FHIR, X12 EDI and ERP connectors.
Analytics
Role dashboards and Ask Data in plain language.