ArceeHQ Agentic AI RCM Platform

ArceeHQ is an agentic artificial intelligence (AI) platform for healthcare revenue cycle management (RCM). It uses coordinated software agents to support claims denial management, patient financing, and financial assistance eligibility workflows.

Key Capabilities

• Claims Denial Management: Monitors payer policy changes, identifies claims that may be at risk before submission, and automates portions of the denial review and appeal process.
• Patient Financing: Evaluates available financing pathways according to patient eligibility information and routes cases for payment resolution.
• Financial Assistance: Screens patients for potential eligibility for charity care, Medicaid, and other financial assistance programs.

Audience & Use Cases

• Audience: Healthcare revenue cycle teams, patient financial services departments, billing administrators, and financial assistance staff.
• Use Cases: Reducing manual claims review, managing denied claims, evaluating patient financing options, and identifying patients who may qualify for financial assistance.

Technical Specifications

• Integrations: Supports integration with Epic and Oracle Health environments.
• Workflow Model: Uses autonomous and coordinated AI agents to perform defined revenue cycle tasks.
• Security and Compliance: Designed to support healthcare organizations’ HIPAA compliance requirements and SOC 2 Type II controls.