Transform Your Claims Workflow with 2 New AI-Powered Software Tools: CR ClaimCheckAI & CR ClaimAgentAI

FORT LAUDERDALE, Fla., December 19, 2024 – CentralReach, the leader in Autism and IDD Care Software for applied behavior analysis (ABA) and multidisciplinary organizations, announced the launch of CR ClaimCheckAI™, the only fully-integrated, AI-powered claims auditing solution along with the upcoming release of it’s new claims processing agent, CR ClaimAgentAI™. Powered by the company’s proprietary AI-agent, cari™, both solutions address mission-critical challenges faced by autism and IDD care providers, including improving profitability and cash flow, despite the staffing shortages and margin constraints these providers often encounter.

CR ClaimCheckAI brings the power of AI-auditing to the clean claims process, leveraging a growing library of 250 payor-specific rules and compliance checks. It provides customers with an interactive dashboard that features both time-based trends and predictive insights into claims data, processing, and issues. More importantly, its seamless integration with CentralReach’s core task manager module simplifies and streamlines the resolution of claims issues by embedding it directly into the customer’s workflow. It also provides straightforward claims analysis by organization, center, and payor, enabling organizations to identify and address the root causes of claims issues at their source. Further, the product offers a Clean Claims Score based on the claims analysis, which empowers providers to benchmark their performance against all other providers and those within their specific market segment, delivering another layer of insights not available in standalone point solutions.

In Q1 2025, the company will begin rolling out a series of RCM-process focused AI agents which will be bundled together in its CR ClaimAgentAI offering. These cari-powered agents will enable clients that deploy them to generate, audit, and submit claims automatically - all with a transparent view into what’s happening along the way. The automation will increase clean claim rates, improve operational efficiency, increase billing velocity and, as a result, greatly improve cash flow and profitability for users.