Detect the opportunity
Identify avoidable denial causes, payment gaps, and reimbursement risks with the affected claims attached.
sehaXG Orchestration
Connect detection, priority, ownership, and digital action across the revenue cycle. Give every preventable risk and unresolved balance a path through the right people and agents.
Every case has a path forward.
Use the issue, value and readiness to choose the next useful action.
Synthetic product demo · No patient data or external actions.
Built around your team
Move beyond seeing the issue. sehaXG turns revenue intelligence into a sequence of assigned tasks, evidence checks, approvals, and responses that the team can follow and improve.
Identify avoidable denial causes, payment gaps, and reimbursement risks with the affected claims attached.
Prioritize work, assign ownership, and use agents for the appropriate digital steps.
Review actual outcomes and use them to refine preparation, rules, and follow-up.
Explore how a revenue signal becomes a coordinated response.
Surface a missing authorization, an unanswered claim, or a payment difference. Bring the signal and its supporting context into a workflow with a clear next step.
A closer look
See the work, understand the opportunity, and turn the next best action into progress.
01 · Detect
Start with a payer alert, a denial cluster, or a payment difference. Bring the relevant claims, evidence, and reasons together so the team can understand what needs correcting, investigating, or pursuing.
From the big picture to the next action.
Authorization gaps appear across 14 example claims. Review the shared requirement.
02 · Prioritize
Combine filing deadlines, outstanding value, readiness gaps, and estimated reimbursement risk in your worklists. Group similar actions and explain the priority so urgent corrections and justified recovery work receive the right attention.
Put the right case in front of the team.
| Case | Reason | BHD | Action |
|---|---|---|---|
| Authorization scopeClinical review | 480.000 | Review | |
| Payment varianceFinance team | 225.000 | Compare | |
| Missing evidenceRCM team | 160.000 | Prepare |
Confirm that the approved service matches the submitted service and supporting evidence.
Assigned to clinical review03 · Assign
Route a missing clinical note, authorization review, or payment question to the appropriate person. Define dependencies, approvals, and escalation points so the case can continue when one team completes its part.
Every case has a path forward.
Use the issue, value and readiness to choose the next useful action.
04 · Execute
Let agents check eligibility or status, prepare supporting material, and submit approved requests or responses. Pause where review is required and return exceptions with the available response and activity history.
Digital follow-up, with a clear record.
Case scope verified
Preparing context
The reviewer sees the evidence and intended destination before the agent continues.
05 · Review outcomes
See what was completed, how the payer responded, and where work remains open. Review recurring denial or underpayment causes, then adjust preparation guidance and workflow rules so the same issue creates less repeat effort.
Keep progress and exceptions in view.
Authorization gaps appear across 14 example claims. Review the shared requirement.
A little more clarity
It carries an issue through detection, prioritization, ownership, execution, and outcome review. A risk explanation or payment gap becomes assigned work with evidence, dependencies, approvals, and a visible response.
Yes. An agent can perform a digital check, a person can approve the response, and another agent task can submit the approved material while the case keeps its history.
Review the actual response, identify the cause, and update preparation guidance or task rules. Reimbursement forecasts remain estimates, while completed actions and real payer responses provide the evidence for operational changes.
Let’s move forward
Walk from the first signal to the worklist, assigned action, digital response, and outcome review with the people who own your workflow.
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