Build your case before the negotiation
Explain disputed revenue across services and departments, then support the hospital’s position with claim-level evidence.
Explore IntelligenceFor hospitals & health systems in Bahrain
Protect your hospital’s revenue before you negotiate.
Bring billing, finance, and clinical teams together around why revenue went unpaid and what can still be recovered. Pursue recoverable claims throughout the year, then enter annual insurer negotiations with a documented position that reflects the work across your hospital or healthcare group.
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 year of revenue work. A stronger case at the table.
Connect each department’s claims, evidence, and recovery activity to the hospital’s wider payer position. Give the people entering the negotiation a shared understanding of the disputed revenue and the work already done to recover it. Reduce the next avoidable dispute by strengthening coverage, evidence, and authorization readiness across departments.
Reduce repetitive recovery work
Use agents for routine digital follow-up so hospital teams can focus on exceptions and justified recovery.
Explore AI AgentsPrevent avoidable claim issues
Coordinate readiness checks and evidence review to reduce preventable denials, underpayments, and authorization rework.
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
Bring the hospital’s full revenue story to the table.
See which services, departments, and denial reasons account for unresolved balances. Address recurring documentation or authorization gaps and coordinate recovery before the annual payer review. Bring the remaining disputes together with the clinical evidence, billing records, and financial context your negotiating team needs.
- Disputed balances by payer, department, and service
- Coordinated recovery before the annual review
- A shared evidence base for the hospital’s negotiating position
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
Hospital-wide intelligence
Find the service behind a changing payer pattern.
Monitor collections, denial causes, payment timing, and reimbursement risk across the hospital. Follow an alert into the departments and claims affected, so the response can be grounded in local evidence rather than an unexplained total.
- Payer, department, and service views
- Alerts and related claim evidence
- Explained reimbursement-risk context
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
Authorization & clinical evidence
Make readiness clear across departments.
Check that the planned service, authorization scope, and supporting clinical material align before submission. Route missing notes, approval questions, and evidence reviews to their owners so incomplete requests create less avoidable rework.
- Coverage and approval scope
- Supporting evidence and review
- Clinical and billing responsibilities
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
Hospital worklists
Put the backlog into an order teams can act on.
Prioritize claims by filing needs, outstanding value, readiness, and the required action. Assign related work to the appropriate team or digital agent, and keep pending reviews separate from cases ready for execution.
- Action-based queues and filters
- Deadlines, value, and readiness
- Owned work across hospital teams
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
How it comes together
From context to the next action.
Bring clarity to the work, keep your team in control, and follow through.
- 01
Define the first workflow
Choose a service, queue, or revenue issue with your team and identify the people who own each step.
- 02
Configure the working process
Set the views, task priorities, agent actions, and approvals around that workflow.
- 03
Walk through real scenarios
Review typical cases and exceptions with the people who will use the process.
- 04
Enable the team and review
Introduce the working process, collect feedback, and review where the workflow should change.
A little more clarity
Your questions,
answered.
How does sehaXG support our hospital’s annual insurer negotiations?
It brings the work across billing, clinical departments, and finance into one documented payer position. Your team can understand why amounts remain unpaid, pursue recoverable claims before the review, and use the evidence behind remaining disputes to inform the negotiation and evaluate proposed terms.
How can the hospital reduce prior-authorization rework?
Bring coverage information, authorization requirements, and supporting evidence into a readiness review before submission. Assign missing inputs to the relevant department so the request is better prepared when it moves forward.
Can leadership see where reimbursement is at risk?
Yes. Review estimated full-reimbursement likelihood alongside denial and underpayment risk by service or department, with reasons and suggested next actions. The estimate guides prevention and review; the payer decides the actual outcome.
Can we start with a recurring source of denials?
Yes. Choose a service, authorization workflow, or denial pattern. Identify the coverage and evidence gaps, set the correction and review points, and use agents for the repetitive digital steps.
Let’s move forward
Prepare a stronger case for your hospital’s revenue.
Prepare for the next annual payer negotiation with shared evidence and coordinated recovery, while helping departments prevent avoidable denials, underpayments, and authorization rework.
Request a demo