For revenue cycle teams

Know what to work next. Get it right the first time.

Every case on your list has an owner, a next step and a date; approvals arrive as billing work; denials come routed by their reason. Claims and authorization requests are checked against your own learned rules before they go out, and agents take the status checks and digital submissions.

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In sehaXGWork

sehaXG billing item for an approved hip replacement: the approval ends in four days, and the item is waiting on the Head of Finance to approve the implant purchase and on the surgeon to confirm a new date, each with when it was asked and chased.

OrchestrationIntelligenceAI agents

Built around your team

Make the next claim better prepared than the last.

Your team already knows what the payers want. sehaXG keeps that knowledge in the system: the work is owned and ordered, and what your best people learned from each denial is checked on every claim.

Read: Experience in the system, not in heads

A list that tells you what's next

Owners, next steps, follow-up dates and waits, from the visit's approval to the payer's answer.

Explore Orchestration

Right the first time

Checks before submission, with the rules learned from your denials, and a route for each denial by its reason.

Explore Intelligence

Fewer portal visits

Agents check statuses and submit claims, authorization requests and appeals once the checks pass.

Explore AI Agents

A closer look

Run it. Learn from it. Automate the rest.

Owned work first, intelligence on top, and AI agents for the repetitive digital steps.

Approvals to bill

Approved services arrive as your next step.

Each approval becomes a billing item with the approval's end date, owned by the person named for that payer. Waits on Finance or the surgeon sit on the same item, chased on time.

Billing items from approvals
Waits and chases on the item
The approval's end date in view

Before the visit

Coverage and approvals assigned for next week.

Next week's appointments arrive from your hospital system with each visit's coverage and approval assigned to a named person.

Visits imported from your hospital system
Coverage and approval status
Who is settling each

sehaXG Upcoming services for next week: knee and hip replacements, angiography, a caesarean delivery and imaging visits, each with the payer, coverage and approval status and the named person settling each.

Before you submit

Your denials, checked on the next claim.

Each claim is checked against the payer's rules and the rules your managers approved from repeated denials, with where the rule came from and a quick way to fix the gap.

Learned rules on matching claims
Missing documents and details
Bill, patient share and filing deadline

sehaXG claim checks before submission: the bill, patient share and filing deadline, and a learned check asking for the referring doctor's notes, approved by the revenue manager after 4 earlier denials.

Denials by reason

Every denial routed by its reason.

Denials arrive from the payer's file with a suggested route from the reason code (correct the claim, appeal, or raise it in negotiation), an owner and the appeal deadline.

Suggested route from the reason code
Appeal deadlines in view
Raise in negotiation, with the why

sehaXG route chooser for a denied angiography claim: appeal, correct the claim, or raise it in the payer's 2027 negotiation round, with the amount at stake and why it should not have been denied.

Digital follow-up

Statuses and submissions, off your desk.

Agents check claim and appeal statuses, record the payer's response, and submit approved claims, authorization requests and appeals, bringing exceptions back to you with the history ready.

Status checks
Approved submissions
Exceptions with their history

sehaXG / Revenue workspaceSynthetic demo

WORKSPACE / AGENTS

AI agent activity

Digital follow-up, with a clear record.

sehaXG digital agentCase XG-0248 · Claim follow-up

Paused

1
Read the permitted case contextWithin the approved task scope
2
Check the digital payer statusWithin the approved task scope
3
Request review of the next actionHuman review before submission
4
Submit the approved packageAuthorized digital channel
5
Record the receipt and outcomeWithin the approved task scope

Activity record

Case scope verified

Preparing context

Submission requires approval

The reviewer sees the evidence and intended destination before the agent continues.

Synthetic event log

Watch the example or advance a step.

Illustrative product experience · No patient data

A little more clarity

Your questions,
answered.

How do I know what to work next?

Your Work list shows each item's next step, owner, follow-up date and what it is waiting on, sorted by what is due. Approvals to bill, denials and waits all arrive there.

How does sehaXG help before a claim is submitted?

It checks the claim against the payer's rules and your learned rules, shows the expected payment and its source, and flags missing documents or details with a quick fix.

Does the expected payment guarantee payment?

No. It is what the hospital's payment terms say the claim should pay. The payer decides what it pays, and the payment that arrives is compared with it.

What do the AI agents do, and what don't they do?

They check claim and authorization statuses, and prepare and submit claims, authorization requests and appeals through digital channels, inside the cases your team owns. They stop for a person wherever your rules say so, every step is recorded with the case, and they don't make phone calls: a case that needs a conversation goes to its owner.

Keep exploring

sehaXG Orchestration

Prepare the next claim with what the last one taught you.

Bring a denial that keeps coming back. We'll show the rule it would teach and the next claim checked before it goes out.

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Know what to work next. Get it right the first time.