Substantiate your negotiating position
Trace the disputed amount to reconciled claims and evidence, with a clear breakdown in Bahraini dinars.
Explore IntelligenceFor finance leaders
Bring a defensible number to the table.
Prepare for annual insurer negotiations with a financial position you can explain, claim by claim. Reconcile expected payments, receipts, and valid adjustments, pursue recoverable shortfalls, and quantify the remaining dispute in Bahraini dinars.
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
Give every amount under discussion a clear rationale.
A balance alone cannot explain a loss. sehaXG connects it to denial reasons, payment differences, supporting evidence, and recovery activity so finance can distinguish what has been resolved, what is still recoverable, and what needs a negotiated decision. Look ahead as well: assess reimbursement risk and act on preventable underpayments before they become another reconciliation issue.
Reduce the effort around recovery
Give routine digital checks and approved responses to agents while finance investigates justified shortfalls.
Explore AI AgentsAct on the next payment risk
Connect denial and underpayment-risk estimates to readiness checks, evidence review, and owned follow-up.
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
Make the settlement figure traceable to the claim.
Build a reconciled view of each payer’s position before annual business negotiations. Separate documented contractual deductions from denied or underpaid amounts that warrant challenge. Track recovery and unresolved items without counting the same balance twice, then connect the amount your team proposes to the evidence that supports it.
- Expected payments, receipts, and valid adjustments
- Recovery progress and remaining disputes in BHD
- Claim-level support for evaluating a proposed settlement
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
Cash flow & receivables
Explain the movement in your revenue position.
Review aging, receipts, unresolved balances, and recovery progress in Bahraini dinars. Compare payer and service views, then follow a change into the claim status, evidence, and next action that can explain it.
- Receivable aging and collections
- Payer and service comparisons
- Recovery progress and open balances
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
Underpayment review
Separate the justified deduction from the shortfall.
Reconcile expected payment under the applicable terms with receipts, recorded patient responsibility, and documented adjustments. Investigate the remaining difference, attach the supporting evidence, and track recovery without treating every billed amount as collectible.
- Expected, received, and adjusted amounts
- Evidence for a recoverable difference
- Recovery history and remaining disputes
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
Reimbursement forecasting
Estimate full payment and understand the risk to it.
Assess the likelihood of full reimbursement against underpayment or denial risk. Review the claim evidence, coverage context, and payment assumptions behind the estimate, then use the recommended next actions to strengthen readiness or focus investigation. Actual receipts remain the basis for reconciliation.
- Full-reimbursement likelihood
- Reasons for payment-loss risk
- Recommended readiness and recovery actions
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.
How can finance establish the amount to take into an insurer negotiation?
Start with expected payment under the applicable terms, reconcile receipts and valid adjustments, and review the reasons for the remaining differences. sehaXG brings that record together with evidence and recovery history so your team can substantiate its position. Outstanding or billed amounts are not automatically treated as collectible revenue.
How should finance use a reimbursement forecast?
Use it as an explained estimate of full payment, underpayment, or denial risk, not as a confirmed receivable or a guaranteed payer decision. Examine the available evidence and assumptions, and reconcile against the actual response and receipts.
How can sehaXG help reduce underpayments?
It compares payment expectations under the applicable terms with receipts and adjustments, surfaces risk and actual differences, and connects them to evidence-based review or recovery. Recurring causes can inform stronger preparation for future claims.
Does full reimbursement always mean the entire billed amount?
No. It refers to the assessed payable amount under the relevant coverage and payment terms. Your team can review the assumptions and distinguish valid adjustments from a shortfall that warrants action.
Let’s move forward
Know what supports your next negotiation.
Bring a supported position to the annual payer review, and explore how explained reimbursement estimates and underpayment prevention can protect the revenue behind the next negotiation.
Request a demo