1 · Orchestration
Every case owned, every hand-off tracked, every wait named and chased. From the first call to the payment, nothing stalls quietly.
Explore OrchestrationRevenue orchestration
Run your revenue cycle from the first call to the payment.
sehaXG is where a hospital's revenue cycle is run. Every case has an owner, a next step and a date; approvals hand off to billing; waits on doctors, Finance or Procurement are named and chased. Intelligence learned from your own denials sits on top, and AI agents take the repetitive digital work.
In sehaXGWork
OrchestrationIntelligenceAI agents
Built around your team
Three layers, in the order they matter.
Orchestration keeps every case moving. Intelligence makes each case better prepared than the last. AI agents take the repetitive digital steps, inside the same cases, owners and rules.
Read: three habits of a revenue team that gets paid2 · Intelligence
Rules learned from your own denials, checks before claims and authorizations go out, a reason for every disputed claim, and the numbers that defend your team.
Explore Intelligence3 · AI agents
Agents check statuses and prepare and submit claims, authorization requests and appeals, inside the cases your team owns.
Explore AI AgentsEXPLORE THE PLATFORM
Orchestration. Intelligence. AI agents.
Three layers, in the order they matter.
Orchestration
Every case owned. Nothing stalls quietly.
Every case has an owner, a next step and a date; approvals hand off to billing; waits on doctors, Finance or Procurement are named, chased and raised when they pile up.
- Every open wait, by who holds it
- Chases logged and due
- Oldest and median wait
A closer look
Run it. Learn from it. Automate the rest.
Owned work first, intelligence on top, and AI agents for the repetitive digital steps.
Orchestration · owners
A name, a next step and a date on every case.
From the patient's first call to the payment, each case sits with one person, with what happens next and when. The Team panel shows everyone's open and overdue work, and anything left without an owner shows up at once.
- An owner, a next step and a follow-up date
- Each person's open, overdue and blocked work
- Nothing left without an owner
Orchestration · hand-offs
An approval hands off to billing by itself.
When the payer approves a service, billing already has the work item to bill it, due before the approval ends. Nothing depends on someone remembering to pass it on.
- Approved services become billing work
- The approval's end date on every item
- A named billing owner per payer
Orchestration · waiting on
Waits on doctors, Finance or Procurement, named and chased.
When a case is waiting on someone outside the team, the wait is recorded: who holds it, since when, the last chase and the next. When waits pile up on one desk, the manager hears about it without walking the corridors.
- Every open wait, grouped by who holds it
- Days waited, last chase and next chase
- Piled-up waits raised to the manager
Intelligence · learned rules
Your denials become your rules.
When a payer denies the same service for the same reason several times, sehaXG proposes a checklist rule. A manager approves it, the next claim is checked before it goes out, and the before and after counts show whether it worked.
- Repeated denials found within days
- A proposed rule a manager approves
- Denials before and after, counted
Intelligence · before it goes out
Checked before submission, not after the denial.
Claims and prior-authorization requests are checked against the payer's rules and your own learned rules before they are sent, with what to fix and a quick way to fix it.
- Payer rules and learned rules on every claim
- Missing documents and details flagged
- Fixes from the same screen
Intelligence · negotiation files
Bring reasons, not a list.
Raise a denial into the payer's negotiation round as it happens, with why it shouldn't have been denied. By the meeting the file is ready: amounts by reason, one page to print, and what was recovered afterwards.
- A reason for every disputed claim
- Amounts at stake, by reason, in BHD
- Printable summary and recovery tracked
Intelligence · numbers
Numbers that defend your team.
Collected, recovered and paid in full at the first decision, each against the period before and each saying how it is counted, so the figures hold up when someone asks what the revenue team brings in.
- Collected, denied and recovered in BHD
- First-pass rates for claims and authorizations
- Every figure opens the records behind it
AI agents
Agents on top, for the repetitive digital work.
Agents check claim and authorization statuses and prepare and submit claims, authorization requests and appeals through digital channels. They work inside owned cases, run the same checks before they submit, and return exceptions to the case owner with what they found.
- Status checks on payer portals
- Claims, authorization requests and appeals submitted
- Approval points your team sets
sehaXG / Revenue workspaceSynthetic demo
AI agent activity
Digital follow-up, with a clear record.
sehaXG digital agentCase XG-0248 · Claim follow-up
Paused- 1Read the permitted case contextWithin the approved task scope
- 2Check the digital payer statusWithin the approved task scope
- 3Request review of the next actionHuman review before submission
- 4Submit the approved packageAuthorized digital channel
- 5Record the receipt and outcomeWithin the approved task scope
Activity record
01
Case scope verified
02
Preparing context
Submission requires approval
The reviewer sees the evidence and intended destination before the agent continues.
Illustrative product experience · No patient data
A little more clarity
Your questions,
answered.
What is revenue orchestration?
Running the revenue cycle as one piece of work, from the patient's first call to the payment. Every case has an owner, a next step and a date; hand-offs between departments are tracked; waits on others are named and chased. sehaXG is the place that work is run.
Does sehaXG replace our hospital information system?
No. Your hospital system stays the record of care. sehaXG takes its appointment lists and claims, and your payers' files, and runs the revenue work around them: owners, hand-offs, waits and follow-up.
How does sehaXG learn from our denials?
It watches your payers' decisions. When the same service is denied for the same reason several times, it proposes a checklist rule from the payer's own reason. A manager approves, edits or rejects it; approved rules check the next claims before they go out, and the counts before and after show whether the rule worked.
Can sehaXG show what a claim should be paid?
Yes. Each claim carries its expected payment: what the hospital's payer terms say it should pay (the payer's price list and rules, less the patient's share), with that source shown. When the payment arrives it is compared with it; the payer decides what it pays.
What do the AI agents do, and what don't they do?
They check claim and authorization statuses, and prepare and submit claims, authorization requests and appeals through digital channels, inside the cases your team owns. They stop for a person wherever your rules say so, every step is recorded with the case, and they don't make phone calls: a case that needs a conversation goes to its owner.
Let’s move forward
See one case run from the first call to the payment.
Bring a case that stalled between departments. We'll show where it would sit in sehaXG, who would own it, what it is waiting on and what happens next.
Request a demo