Transform Your Claims ProcessOut-of-Network
ClaimBoost AI leverages advanced artificial intelligence to automate TPA negotiations, accelerating claim processing while working to optimize your reimbursement outcomes.
Out-of-Network Claims Deserve Intelligent Handling
When out-of-network medical claims reach insurance carriers, they’re often routed to Third Party Administrators (TPAs) for repricing. The negotiation process that follows can be time-consuming, inconsistent, and resource-intensive for billing teams.
ClaimBoost AI transforms this process through intelligent automation. Our platform applies data-driven negotiation strategies, drawing on historical patterns to pursue optimal outcomes for each claim.
- Reduce manual negotiation workload
- Accelerate claim processing timelines
- Apply consistent, data-informed strategies
- Focus your team on higher-value activities
Why Medical Billing Teams Choose ClaimBoost AI
Our platform is purpose-built for the unique challenges of out-of-network claims management.
AI-Powered Automation
Our intelligent system handles the negotiation workflow automatically, applying sophisticated algorithms to each claim interaction with TPAs.
Accelerated Processing
Automated workflows move claims through the negotiation process more efficiently than manual methods, reducing the time from submission to resolution.
Data-Driven Strategies
ClaimBoost AI analyzes historical claim data to inform negotiation approaches, helping identify opportunities that might otherwise be missed.
Consistent Methodology
Every claim receives the same rigorous attention and strategic approach, eliminating the variability that comes with manual processing.
Transparent Tracking
Monitor the status and progress of every claim through our platform, with clear visibility into each stage of the negotiation process.
Secure Infrastructure
Your sensitive claim data is protected by enterprise-grade security measures designed to meet healthcare industry requirements.
How ClaimBoost AI Works
A streamlined process designed for efficiency and clarity.
Claim Integration
Your out-of-network claims are securely transmitted to the ClaimBoost AI platform for processing.
Intelligent Analysis
Our AI evaluates each claim against historical data patterns to determine optimal negotiation parameters.
Automated Negotiation
The platform engages with TPAs using data-informed strategies tailored to each specific claim.
Resolution & Reporting
Completed negotiations are documented with comprehensive reporting on outcomes and processing metrics.
Built for Medical Billing Professionals
ClaimBoost AI was developed with deep understanding of the challenges facing medical billing teams, practice managers, and revenue cycle professionals.
Our platform addresses the frustrations of manual TPA negotiations—the phone calls, the portal interactions, the inconsistent responses—by automating the entire workflow.
This allows your team to redirect their expertise toward patient relations, complex billing scenarios, and strategic revenue optimization rather than repetitive negotiation tasks.
Learn About Our Approach
Ready to Optimize Your Claims Process?
Discover how ClaimBoost AI can transform your approach to out-of-network claims negotiation. Schedule a consultation to learn more about our platform and discuss your specific needs.
Request Your Consultation