Revenue cycle management
The AI billing team you never have to manage.
Revenue cycle management is everything between seeing a patient and getting paid: eligibility, prior authorization, documentation, claims, denials, appeals, and the financial reporting that ties it together. Every stage is a place a claim can stall.
Built for practices and groups with no billing team of their own. Runs the whole cycle, eligibility to payment, on the systems you already use. When a claim comes back, one of our billers works it.
The revenue cycle, stage by stage.
Every stage decides whether a claim gets paid or turns into a denial.
- 1
Eligibility and benefits
Confirms coverage and patient responsibility before the visit, so claims do not deny for coverage issues.
- 2
Prior authorization
Secures payer approval for services that require it, mapped to the payer's criteria, before submission.
- 3
Medical necessity and documentation
Checks the submitted service against the payer's medical necessity policy and flags the documentation it requires.
- 4
Claim scrubbing
Checks every claim against the payer's policies before it goes out, so fewer claims come back.
- 5
Submission and remittance
Sends the claim and reads the 835 remittance: what was paid, what was adjusted, what was denied.
- 6
Denials and appeals
Works denials on arrival and appeals the ones that are wrong, with payer-specific documentation. Our billers own the exceptions.
- 7
Financial intelligence and forecasting
Forecasts collections by payer and scores probability of payment. You see what each payer will pay, not just what it already paid.
Works with everything you already run.
Altair runs on top of every EHR, practice-management system, and clearinghouse on the market, including yours. No rip-and-replace, and no billing work for your front desk.
Runs the whole cycle: eligibility and benefits, prior authorization, medical necessity and documentation, payer-specific claim scrubbing, submission, claim tracking, remittance, denials, payer-specific appeals, financial forecasting and underpayment detection, patient statements and balances, and payment posting and reconciliation.
Nothing about your systems changes. What changes is who does the billing.
41% of providers now see denials above 10%.
Denials keep climbing, and every stage of the cycle is a place a claim can stall. Altair runs the whole cycle, eligibility to payment. Our billers work the exceptions. No billing work for your front desk.
Experian Health State of Claims 2025. Denial rates vary by payer and setting.
Revenue cycle management, answered.
What is revenue cycle management?
Revenue cycle management, or RCM, is the end-to-end process of submitting and collecting payment for medical care. It spans eligibility and prior authorization, medical necessity and documentation, claim scrubbing and submission, denial management and appeals, and the financial reporting that tells you what you will collect.
What are the stages of the revenue cycle?
The main stages are eligibility and benefits, prior authorization, medical necessity and documentation, claim scrubbing, submission and remittance, denial management and appeals, and financial analytics and forecasting. A breakdown at any stage costs you revenue.
How does AI improve revenue cycle management?
AI checks each claim against the specific payer before submission and works denials on arrival. It drafts payer-specific appeals and learns each payer over time. At Altair, our billers handle the exceptions.
Does Altair replace my RCM software?
No. Altair runs on the EHR, practice-management system, and clearinghouse you already use. It runs the whole cycle from eligibility and scrubbing through denials, appeals, and collections forecasting. No rip-and-replace.
We do not have a billing team. Who actually does the work?
That is what Altair is built for. Altair works the claims. Our in-house billers handle the exceptions. There is no billing operation for you to staff or manage.
Is Altair HIPAA compliant?
Yes. Altair is HIPAA compliant. Review our security posture and controls in detail at our Trust Center.