Use case
Revenue Cycle Automation & Claims Processing
TietAI automates the entire claims lifecycle — from documentation to reimbursement. Capture billable events, verify eligibility in real time, and generate compliant X12 claims automatically to reduce denials, speed up payments, and recover lost revenue.
The Challenge
Manual claims processing remains one of the most persistent sources of inefficiency and financial leakage in healthcare operations. Each claim passes through multiple touchpoints — from clinical documentation and coding to eligibility verification and payer submission — creating ample opportunities for human error and delay.
Disconnected EHR systems, inconsistent coding practices, and payer-specific requirements further compound the problem, leading to high claim denial rates, longer reimbursement cycles, and lost revenue. For most providers, first-pass claim acceptance rates hover below optimal benchmarks, creating additional administrative workload and reducing operating margins.
The Solution
TietAI's Revenue Cycle Automation platform introduces an AI-driven layer of intelligence across the entire claims lifecycle — from documentation to reimbursement. The system automatically captures billable events from clinical narratives, verifies patient eligibility in real time, and generates fully compliant X12 837 transactions tailored to payer-specific rules.
Automated Charge Capture
Extract billable services from clinical documentation with AI-powered ICD-10 and CPT code suggestions.
Real-time Eligibility Verification
Integrate with payer systems via X12 270/271 transactions for instant benefit verification.
Intelligent Claims Generation
Automatically create clean X12 837 claims with built-in validation and payer-specific requirements.
The Impact
A data-aware platform redefines how healthcare organizations manage revenue. By infusing intelligence into every step of the claims lifecycle, it turns complexity into clarity — transforming days of manual work into real-time, automated precision. Providers gain cleaner claims, faster reimbursements, and higher first-pass acceptance rates, while freeing teams from repetitive administrative tasks. The result: stronger financial performance, reduced leakage, and a scalable foundation for value-based, data-driven healthcare operations.