HealOS
Backed by Y Combinator

AI Billing & RCM for ModMedFewer denials, faster collections, full visibility

HealOS AI Billing automates your entire revenue cycle for ModMed — from charge capture to claim submission to denial management — recovering $50K-200K in lost revenue per provider annually.

The Problem AI Billing & RCM Solves

Claims are denied, appealed late, or never resubmitted. Your A/R ages. Staff spend more time on billing than patient care. Revenue leaks are invisible until it's too late.

How AI Billing & RCM Works with ModMed

1

Charges captured automatically

HealOS reads clinical notes from ModMed and identifies billable services, suggesting accurate ICD-10 and CPT codes.

2

Claims scrubbed and submitted

Before submission, HealOS runs each claim through payer-specific rules to catch errors. Clean claims are submitted electronically.

3

Denials managed automatically

When claims are denied, HealOS classifies the denial reason, generates corrected claims or appeals, and resubmits — often within 24 hours.

4

Revenue visibility

Real-time dashboards show claim status, A/R aging, denial trends, and revenue recovery — giving you full visibility into your financial health.

What Gets Automated

Automated charge capture from clinical documentation
Real-time claim scrubbing before submission
Electronic claim submission to all major payers
Automated denial management and appeal generation
Payment posting and reconciliation
A/R aging analysis and follow-up automation
Revenue leakage detection and recovery
Financial dashboards and reporting

ModMed AI Billing & RCM Results

Claim denial rate

Before: 15-25%After: 40% fewer denials

Days in A/R

Before: 45-60 daysAfter: 30% reduction

Revenue recovered

Before: Unknown leakageAfter: $50K-200K/provider/year

Clean claim rate

Before: 75-85%After: 95%+ first-pass rate

Denial follow-up

Before: Manual, often missedAfter: Automated within 24 hours

Billing staff time

Before: Full-time dedicated staffAfter: 80% reduction in manual work
HIPAA Compliant
SOC 2 Type II
AES-256 Encryption
Signed BAA

See AI Billing & RCM Working Inside ModMed

We'll walk through real workflows — from the moment work begins to the moment it appears inside ModMed.

See a ModMed AI Billing & RCM Demo →

20 free sessions/month. No credit card required.

Frequently Asked Questions