Claims Management

StreamClaim™

End-to-end claims — from AI validation through automated payment reconciliation and AI denial appeals. Recovers revenue others write off.

Core Capabilities

  • Pre-submission AI validation against 4,000+ edit rules
  • Direct payer submission via our proprietary clearinghouse network
  • Real-time claim status tracking with automated follow-up
  • Automated payment reconciliation — no manual intervention
  • AI denial categorization with automated root-cause resolution
  • AI appeal brief generation — provider reviews in minutes
  • Secondary claim automation from primary EOB data
97.8%
Clean claim (industry: 85%)
11.4d
To payment (industry: 28d)
2.2%
Denial rate (industry: 15%)
$38K
Avg. denial recovery/mo
StreamClaim claims management
97.8% clean claim rate target. 11.4 days to payment.
streamclaim · this month
Clean Claim Rate
97.8%
Industry avg 85%
Denial Recovery
$38,440
AI appeals · 31 of 41 recovered
How it works

Clean claims at scale — with denials appealed automatically.

4,000+ payer-specific edits run before submission. AI denial intelligence appeals what slips through.

Claim Built CCI editsPASS Modifier checksPASS Payer LCD / NCDPASS Eligibility matchPASS Code linkingPASS PAID · ERA posted Claim Built From encounter 4K+ Edits Validation pass Submitted Direct to payer Paid ERA posted

Not sure how the 7 Streams work together?

See how RSAI moves revenue from intake to final payment.

FAQ

StreamClaim — frequently asked questions

It validates claims against thousands of edits before submission, submits directly to payers, posts ERAs, and generates AI-written appeal letters when claims are denied.
StreamClaim runs 4,000+ edit validations before submission to catch errors early, and automatically drafts appeals when denials do occur.
Yes. StreamClaim generates payer-specific denial appeal letters automatically.
Over 4,000 payer-specific edits — including CPT/ICD combinations, NCD/LCD medical-necessity checks, modifier validation, demographics, eligibility cross-reference, and prior-authorization requirements.
Yes. StreamClaim can submit through your existing clearinghouse or via direct payer connections, picking whichever produces faster turnaround and lower per-claim cost.
AI-drafted appeals targeting denials inside the recovery window achieve a 78%+ first-pass success rate at RSAI customer practices, versus a 45% industry average.
11–14 days average from submission to payment, compared to a 28-day industry benchmark. Faster cash flow is driven by clean-claim rate (97.8%) and rapid denial turnaround.