Recover before you negotiate
Explain revenue gaps by payer, prioritize recovery, and bring a documented position to annual insurer discussions.
Explore IntelligenceFor executive leaders
Recover first. Negotiate from strength.
Enter annual insurer negotiations knowing why revenue went unpaid, which amounts can still be pursued, and what supports your position. Prioritize recoverable shortfalls before the meeting, then bring a clear, evidence-backed case for the balance that remains in dispute.
Your revenue, in focusProduct tour
sehaXG / Revenue workspaceSynthetic demo
Payer performance
Bring evidence to the conversation.
- Expected payment
- BHD 24,600 Selected sample claims
- Received
- BHD 21,840 Matched remittances
- Variance to review
- BHD 2,760 Before adjustments
Expected vs. received
6 example months30k20k10k0
AprMayJunJulAugSep
Expected paymentReceivedBHD · Synthetic examples
A focused payer discussion
Compare payment terms, adjustment reasons and timing together.
Illustrative product experience · No patient data
Synthetic product demo · No patient data or external actions.
IntelligenceAI agentsOrchestration
Built around your team
A stronger negotiating position starts before the meeting.
Put the year’s denial patterns and payment gaps into context. Align finance, billing, and clinical teams around recoverable revenue, then give leadership a documented basis for deciding what to pursue, challenge, or settle. Support that position by reducing future preventable denials and underpayments, with explained reimbursement-risk estimates and earlier readiness checks.
Reduce repeat work around recovery
Use agents for routine digital follow-up while teams address the evidence gaps behind preventable losses.
Explore AI AgentsPrevent the next avoidable dispute
Turn reimbursement risks and recurring denial causes into owned readiness and correction tasks.
Explore OrchestrationA closer look
Powerful capabilities. Practical impact.
See the work, understand the opportunity, and turn the next best action into progress.
Annual payer negotiations
Know the loss. Pursue the recovery. Defend your position.
Turn a disputed total into an explanation leadership can act on. Understand the reasons behind denials and payment gaps, coordinate recovery throughout the year, and separate unresolved claims from documented contractual adjustments. Bring the remaining balance to the negotiating table with evidence and a clear rationale for the amount your team is pursuing.
- Revenue gaps explained by payer and denial reason
- Recoverable balances prioritized before the meeting
- A documented position on the remaining disputed amount
sehaXG / Revenue workspaceSynthetic demo
Payer performance
Bring evidence to the conversation.
- Expected payment
- BHD 24,600 Selected sample claims
- Received
- BHD 21,840 Matched remittances
- Variance to review
- BHD 2,760 Before adjustments
Expected vs. received
6 example months30k20k10k0
AprMayJunJulAugSep
Expected paymentReceivedBHD · Synthetic examples
A focused payer discussion
Compare payment terms, adjustment reasons and timing together.
Illustrative product experience · No patient data
Executive performance
See the position behind the headline number.
Review collections, receivable aging, denials, and unresolved payment differences across the organization. Compare departments and payers, then examine the claim-level reasons and reimbursement estimates behind a changing outlook.
- Leadership KPIs and comparisons
- Actual balances and forecast context
- Evidence behind the next priority
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
Preventable loss
Make the recurring cause a leadership priority.
See which denial patterns involve repeated coverage, authorization, or documentation gaps. Connect the affected claims to the responsible teams and follow the preparation change that can keep the issue from adding to next year’s dispute.
- Related causes and affected services
- Cross-team correction ownership
- Prevention before the next payer review
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
Practical AI adoption
Put the operating plan into visible action.
Choose the digital tasks agents will handle and define the approvals that stay with people. Review status checks, submissions, exceptions, and completed work so AI adoption can be assessed against the operation’s actual priorities.
- Task scope and human approvals
- Agent activity and exceptions
- Work completed against priorities
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.
How does sehaXG help us prepare for annual insurer negotiations?
It connects the amount under discussion to the claims, denial reasons, payment records, and recovery actions behind it. Your team can pursue recoverable items before the meeting and assess the remaining dispute with a clear evidence base. Leadership retains the decision on the negotiating position and any settlement.
How do reimbursement estimates support leadership decisions?
They show the assessed likelihood of full reimbursement alongside denial and underpayment risks, with reasons and recommended actions. Use them to prioritize prevention; they do not guarantee the payer’s eventual decision.
How can teams reduce the disputed balance before it grows?
Address recurring coverage, documentation, and authorization-readiness gaps upstream. Coordinate payment reviews and justified recovery actions, while digital agents reduce routine follow-up effort.
How should we evaluate AI in the revenue cycle?
Start with a task your team can describe clearly. Agree on the inputs, approval points, and the work you will review, then use those to assess how the workflow fits your organization.
Let’s move forward
Bring a stronger position to your next payer negotiation.
See how recovery evidence strengthens your negotiating position, while earlier readiness checks and explained reimbursement-risk estimates help your teams prevent future avoidable disputes.
Request a demo