Inside owned cases
Every agent task belongs to a case with an owner, a next step and a date. What an agent can't finish goes back to that owner.
Explore OrchestrationsehaXG AI agents
AI agents, on top of a revenue cycle that already runs.
Agents check claim and authorization statuses and prepare and submit claims, authorization requests and appeals through digital channels. They work inside the cases your team owns, apply the rules your hospital has learned, and stop for a person where your rules say so.
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.
OrchestrationIntelligenceAI agents
Built around your team
The third layer, not the first.
Agents are only as good as the work they join. In sehaXG they act inside owned cases and with the checks learned from your own denials, so everything they submit has an owner, a reason and a record.
Read: three habits of a revenue team that gets paidWith your hospital's rules
Agents run the same checks before they submit: the payer's rules and the rules learned from your denials.
Explore IntelligenceTaking the repetitive digital work
Status checks, claim and authorization submissions and appeals, with every step recorded on the case.
THE AGENT CATALOG
Put routine revenue work into motion.
The digital tasks agents take on, on top of owned work and your hospital's rules.
Claims
Claims prepared and submitted once they pass.
Agents prepare the claim from the case, run the same checks your team would, payer rules and learned rules included, and submit it through the payer's digital channel once it passes.
- Prepared from the case and its documents
- Checked against payer and learned rules
- Submitted digitally, with the record kept
Owned caseVisit documentsChecks before submission
sehaXG AI AGENTClaim submission agent
Claim prepared01
Checks passed or gaps returned02
Submission recorded on the case03
Your rules. Your review points.
A closer look
Give the repetitive digital work to agents.
Agents work on owned cases with your hospital's rules: the first two layers make the third one safe.
Owned work first
Every agent task lands on an owned case.
The case an agent works on already has an owner, a next step and a follow-up date. When the agent finishes, the next step moves on; when it can't, the case goes back to its owner with what the agent found.
- An owner behind every agent task
- Next steps that move when the agent finishes
- Exceptions returned, not lost
Your rules first
Checked before an agent submits.
Before anything goes to a payer, the same checks run as for your team: the payer's rules and your learned rules. A gap an agent can't close is a task for a person, not a denial next month.
- Payer and learned rules applied
- Gaps stop the submission
- The check and its source recorded
Status agent
Know where every claim and request stands.
Agents check claim, authorization and appeal statuses on the payers' digital channels and record the response with the case. A request for information becomes the next step for its owner.
- Claim, authorization and appeal statuses
- Responses recorded with the case
- Requests for information routed to the owner
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
Submission agent
Claims and authorization requests, prepared and submitted.
Agents prepare the claim or authorization request from the case, attach what the checks require, and submit it digitally once it passes, or once a person approves it where your rules ask for that.
- Prepared from the case and its documents
- Submitted when the checks pass
- Approval points your team sets
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
Appeal agent
Appeals assembled from the reason.
For a denial routed to appeal, an agent assembles the letter and evidence around the payer's reason and submits it once approved, keeping the acknowledgement with the case. Clinical and settlement decisions stay with your team.
- Evidence gathered around the reason
- Submitted after approval
- Acknowledgement kept with the case
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
A little more clarity
Your questions,
answered.
Who owns the work an agent does?
The case owner. Agents act on cases that already have an owner, a next step and a date, and everything an agent does is recorded on the case. What it can't finish returns to the owner.
Do agents follow our hospital's rules?
Yes. Before an agent submits, the same checks run as for your team: the payer's rules and the checklist rules your managers approved from your own denials.
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.
What is reviewed before an agent submits?
Your team sets the approval points for each workflow. A reviewer can see the evidence, the request and the checks before the agent performs the approved digital submission.
Let’s move forward
Put agents on the work your team repeats most.
Bring the status checks and submissions that take your team's day. We'll show where agents fit, on cases that already have owners and rules.
Request a demo