See the revenue picture
Review collections, receivables, denials, payment differences, and team activity in role-specific views.
sehaXG Intelligence
See the risk. Find the next revenue action.
Bring revenue KPIs, payer patterns, denial causes, and payment differences into focus. Estimate reimbursement likelihood with reasons, then direct your team to the work that can prevent avoidable loss.
Your revenue, in focusProduct tour
sehaXG / Revenue workspaceSynthetic demo
Revenue intelligence
From the big picture to the next action.
- 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
Synthetic product demo · No patient data or external actions.
IntelligenceAI agentsOrchestration
Built around your team
A full revenue view. A clear way to investigate.
sehaXG connects leadership reporting to the claims behind each change. Understand what happened, uncover the reason, and build a focused worklist for what should happen next.
Find the underlying issue
Use payer alerts, related denial patterns, and reconciliation context to explain the change.
Act on the risk
Turn explained reimbursement estimates and recoverable gaps into prioritized next actions.
FROM INSIGHT TO ACTION
See what is holding revenue back.
Explore the intelligence behind a more focused revenue operation.
Root-cause intelligence
Find the pattern behind the unpaid claim.
Group denials by reason, payer, and service to understand what keeps recurring. Move from a pattern to the affected claims and the earlier check that could help prevent the next issue.
- Explore related denial reasons
- Drill into payer and service context
- Turn recurring issues into prevention work
DENIAL REASONSIllustrative pattern
Authorization evidence
Coverage information
Supporting documents
Filing requirements
A recurring issue comes into focus
Review authorization evidence across the affected claims.
A closer look
Clarity that moves revenue forward.
See the work, understand the opportunity, and turn the next best action into progress.
Revenue reporting
Follow a changing KPI into the claim.
Review collections, receivable aging, denial activity, and workflow performance in one reporting view. Compare periods, payers, and services, then drill into the supporting claims when a change needs explanation.
- Leadership dashboards and detailed reports
- Collections, aging, and productivity
- Payer, service, and department filters
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
Denial intelligence
Find the shared cause behind separate claims.
Group denials by reason and examine the evidence they have in common. Trace a recurring coverage, authorization, or documentation gap to the affected work, then apply the correction to both the current queue and future preparation.
- Related denial clusters
- Cause and evidence review
- Action across affected claims
sehaXG / Revenue workspaceSynthetic demo
Denial intelligence
Find the reason. Focus the response.
- Denials grouped
- 74 Synthetic case sample
- Root causes
- 3 Shared reasons to review
- Open value
- BHD 15,110 Before payer decisions
Denials by root cause
Cluster insight
Authorization
Approved service scope requires confirmation.
Suggested ownerClinical reviewerReview common evidenceIllustrative product experience · No patient data
Payer patterns & alerts
See the shift before it spreads through the queue.
Surface changes in denial reasons, payment timing, or response patterns. Open the affected claim set from the alert, compare it with prior activity, and assign an investigation with the context already together.
- Payer and service trends
- Alerts linked to claim evidence
- A route from signal to investigation
sehaXG / Revenue workspaceSynthetic demo
Revenue intelligence
From the big picture to the next action.
- 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
Payment integrity
Separate a shortfall from a valid adjustment.
Reconcile the assessed payable amount with receipts, recorded patient responsibility, and documented adjustments. Identify underpayments that warrant action, flag overpayments for review, and keep the calculation with the claim before pursuing a difference.
- Expected, received, and adjusted amounts
- Underpayment and overpayment review
- Evidence behind the recoverable balance
sehaXG / Revenue workspaceSynthetic demo
Payment reconciliation
Make the payment difference visible.
Case XG-0248 · Payer AReview required
ExpectedBHD 480.000
ReceivedBHD 390.000
Difference to investigateBHD 90.000
Follow the payment calculation
Example- Submitted charge
- BHD 500.000
- Contractual adjustment
- − BHD 20.000
- Expected payer payment
- BHD 480.000
- Recorded remittance
- − BHD 390.000
- Unexplained difference
- BHD 90.000
Estimates depend on the applicable terms and evidence. The payer determines payment.
Illustrative product experience · No patient data
Smart worklists
Put the next useful action at the top.
Build worklists around deadlines, outstanding value, readiness, and the action needed. Filter by payer or service, assign an owner, and make the reason for priority visible so teams can act on a coherent group of claims.
- Priority, filter, and ownership rules
- Actionable groups of claims
- Deadlines and recovery context
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
Reimbursement outlook
Estimate the result and explain the risk.
Assess full-reimbursement likelihood alongside underpayment or denial risk using the available claim evidence and relevant terms. Show the reasons, missing inputs, and recommended next actions. The estimate guides preparation; the actual payer response determines the outcome.
- Full-payment likelihood estimates
- Reasons for denial or underpayment risk
- Readiness and review recommendations
sehaXG / Revenue workspaceSynthetic demo
Reimbursement outlook
See what stands between a claim and payment.
Case XG-0248 · Payer AReview required
Full reimbursementNeeds reviewEvidence must support the claim
Underpayment riskFlaggedAuthorization scope is unclear
Coverage information matchedChecked
Approved service scopeReview
Payment terms comparedChecked
Resolve the gap before submission
Confirm the approved service and attach the supporting evidence.
Estimates depend on the applicable terms and evidence. The payer determines payment.
Illustrative product experience · No patient data
A little more clarity
Your questions,
answered.
What does a reimbursement estimate tell us?
It describes the assessed likelihood of full reimbursement and the risk of underpayment or denial, with the reasons and next actions behind that view. It is an estimate from available information, not a promise of the payer’s decision.
What does full reimbursement mean in the assessment?
It means the assessed payable amount under the applicable coverage and payment terms. The full billed amount is not automatically treated as payable, and your team can examine the evidence and assumptions behind the estimate.
How are payment flags different from reimbursement estimates?
A payment flag compares actual receipts and adjustments with the assessed payable amount. A reimbursement estimate looks at the likely outcome from available information before that result is known. Both keep their reasons and next actions visible for review.
Let’s move forward
Turn a revenue signal into a focused next step.
Explore your reporting, denial, or payment-review scenario, from the first alert to the claims and actions behind it.
Request a demo