VeeRCM
VeeRCM is an agentic revenue-cycle management platform that orchestrates 12 specialized AI agents across the full claims lifecycle — from eligibility verification to payment posting — under strict human-in-the-loop governance.
- 12-agent claims pipeline
- Human-in-the-loop governance gates
- HL7 FHIR R4 integration
The problem
Healthcare revenue-cycle teams lose money to claim denials, under-billing, and manual payment reconciliation, while most automation either can't explain its decisions or auto-executes actions no compliance officer would sign off on. VeeRCM runs a deterministic, explainable engine that scores every claim's readiness and denial risk, and never auto-executes a prohibited action — every gate stops for human review until an organization is ready to scale automation up.
Capabilities
What VeeRCM does
- 12 specialized agents across eligibility, coding, submission, denials, and payment posting
- Deterministic readiness and denial-risk scoring per claim
- Human-in-the-loop governance with AUTO / REVIEW / APPROVE gates
- Payer contract-rule extraction from uploaded documents
- Automated payment reconciliation with under/over-payment detection
- Fraud, waste, and medical-necessity sentinel monitoring
- Bilingual English/Arabic billing and collections workflows
Built for compliance
Every state change writes to an immutable audit trail, PHI can be encrypted at rest (AES-256-GCM), access is governed by six-role RBAC, and claims exchange through native JSON, HL7 FHIR R4, and HMAC-signed webhooks.
See VeeRCM in action.
Book a working session and we'll walk through it live with your use case.