Take repetitive tasks off the queue
Run digital inquiries and submission steps without asking the team to repeat the same manual checks.
sehaXG AI agents
AI agents for your next revenue action.
Move eligibility checks, authorizations, claim follow-up, and appeals forward digitally. Reduce repetitive work and avoidable submission gaps while your team controls the decisions.
Your revenue, in focusProduct tour
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
Synthetic product demo · No patient data or external actions.
IntelligenceAI agentsOrchestration
Built around your team
Meet the agents behind the work.
Give each recurring task the case context it needs. sehaXG agents check, prepare, submit, and follow up through digital channels, with approval rules and a visible record of the result.
Prepare the case before it comes back
Identify eligibility, authorization, and evidence gaps that can create preventable denials or rework.
Keep every action accountable
Track what was attempted, what was returned, and what needs a reviewer before work continues.
THE AGENT CATALOG
Put routine revenue work into motion.
Explore the digital tasks agents can take on across the revenue cycle.
Eligibility & benefits
Start with the coverage context.
Put digital agents to work checking available payer information. Bring eligibility, benefits, and coverage gaps into view while there is still time to prepare the next step.
- Check coverage for the planned service
- Surface exclusions and missing information
- Keep the response with the case
Planned servicePolicy detailsPayer response
sehaXG AI AGENTCoverage check agent
Coverage context captured01
Requirements brought into view02
Exceptions sent for review03
Your rules. Your review points.
A closer look
Give repetitive work to your agents.
See the work, understand the opportunity, and turn the next best action into progress.
Eligibility agent
Check the coverage behind the claim.
Review available eligibility responses for the member, service, and date of care. Surface coverage conditions, recorded patient responsibility, and information that needs clarification before the team proceeds.
- Member and coverage verification
- Service and date context
- Exceptions ready for review
sehaXG / Revenue workspaceSynthetic demo
Coverage readiness
Know what to check before care.
Coverage check· XG-0248In review
sehaXG / Case workspace
Pre-service readinessVerify the details that matter.
Coverage on service date
Human review requiredCheck that the coverage applies to the planned service date.
Requirements
3 / 4Select a requirement to inspect the next check.
Carry the context forward
Resolve the missing detail once and keep it with the case for the next team.
Illustrative product experience · No patient data
Prior-authorization agent
Prepare a request with the right support.
Check authorization requirements and match the request to the planned service and supporting evidence. Flag missing material, assemble the review packet, submit the approved request, and track status so avoidable gaps create less rework.
- Approval scope and validity
- Evidence completeness checks
- Approved request and status tracking
sehaXG / Revenue workspaceSynthetic demo
Authorization workspace
Bring the requirements into focus.
Authorization package· XG-0248In review
sehaXG / Case workspace
Authorization summaryReady for the next review.
Requested service
Human review requiredMatch the requested service to the case and supporting record.
Requirements
3 / 4Select a requirement to inspect the next check.
Carry the context forward
Resolve the missing detail once and keep it with the case for the next team.
Illustrative product experience · No patient data
Digital status agent
Know where the claim stands.
Check digital claim and appeal status and capture the payer’s response. Distinguish a pending review from a request for information, create the next task, and keep the inquiry history with the case.
- Claim and appeal status
- Recorded digital responses
- Next-action routing
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
Documentation & filing support
Get the evidence ready before the deadline.
Bring the relevant note, approval, claim reference, and response together. Check requested attachments and filing needs, then queue the completed package for review instead of repeating document searches across the team.
- Requested evidence and attachments
- Filing dates and priority
- Review-ready submission package
sehaXG / Revenue workspaceSynthetic demo
Priority worklist
Put the right case in front of the team.
- Open work
- 42 Sample queue
- Due for review
- 8 Assigned to teams
- Claim value
- BHD 6,480 Illustrative worklist
Work that needs attention
Priority| Case | Reason | BHD | Action |
|---|---|---|---|
| Authorization scopeClinical review | 480.000 | Review | |
| Payment varianceFinance team | 225.000 | Compare | |
| Missing evidenceRCM team | 160.000 | Prepare |
XG-0248 · Next action
Confirm that the approved service matches the submitted service and supporting evidence.
Assigned to clinical reviewIllustrative product experience · No patient data
Appeal & correction agent
Turn the reason into a supported response.
Clarify an unclear denial, prepare appeal evidence, and assemble corrected claims or payment challenges. Submit the approved response digitally and retain the available acknowledgement, leaving clinical and settlement decisions with your team.
- Denial-reason investigation
- Evidence-based appeal preparation
- Approved submission and acknowledgement
sehaXG / Revenue workspaceSynthetic demo
Appeal preparation
Turn the evidence into a clear response.
Appeal draft· XG-0248In review
sehaXG / Case workspace
Evidence-backed responseA clearer case for review.
Denial reason
Human review requiredUse the payer’s reason to shape a relevant response.
Requirements
3 / 4Select a requirement to inspect the next check.
Keep the claim, reason and response together
One review package, with a traceable link to the supporting evidence.
Illustrative product experience · No patient data
Agent performance
See the work behind every completed task.
Review activity by agent, task, and queue. See completed steps, pending reviews, digital responses, and exceptions together so your team can assess throughput and investigate a task without reconstructing its history.
- Task activity and response history
- Human review and exception queues
- Workflow-level performance
sehaXG / Revenue workspaceSynthetic demo
Revenue performance
Keep progress and exceptions in view.
- Claims in review
- 124 Across 3 sample payers
- Open claim value
- BHD 18,420 Unresolved example work
- Ready for review
- 28 Evidence assembled
Revenue movement
6 example months24k16k8k0
AprMayJunJulAugSep
ReceivedComparison periodBHD · Synthetic examples
A pattern worth reviewing
Authorization gaps appear across 14 example claims. Review the shared requirement.
Illustrative product experience · No patient data
A little more clarity
Your questions,
answered.
Which digital jobs can the agents handle?
Eligibility inquiries, prior-authorization preparation and submission, claim and appeal status, document assembly, filing follow-up, and approved appeals or corrections. Each task follows the available channel, case information, and review rules.
Do sehaXG agents make phone calls?
No. Agents work through digital channels. Cases that require a phone conversation are handed to your team with the relevant context.
What is reviewed before an agent submits?
Your team defines the approval point for the workflow. A reviewer can examine the evidence, request scope, response content, and filing context before the agent performs the approved digital submission.
What happens when a request still receives a denial or short payment?
The response stays with the case. Agents help assemble supporting material and perform approved digital follow-up, while your team decides how to address the reason or challenge a payment difference.
Let’s move forward
Meet the agents that move your revenue work.
Walk through an eligibility check, an authorization request, or a digital appeal, with the case context and review points your team needs.
Request a demo