FlemingAI
AI-Based Medical Billing transforming healthcare revenue cycle management.
The Problem
Medical billing is a complex, error-prone process that costs the US healthcare system billions annually. Providers struggle with denied claims, while patients are left confused by opaque bills.
Manual coding and verification are slow and expensive. We saw an opportunity to apply our CogniCore AI engine to automate this workflow, reducing administrative burden and improving financial outcomes for providers.
Differentiating Features
Predictive Denial Analysis
Analyzes vast datasets of historical claims to identify patterns and flag denial risks before submission.
AI-Assisted Coding
Leverages NLP to scan clinical documentation and suggest accurate ICD-10 and CPT codes, reducing compliance risks.
Intelligent Charge Capture
Automatically identifies and records all billable services from physician notes to ensure no revenue is lost.
Flexible Acquisition
Healthcare providers can acquire FlemingAI through two primary models designed to fit different financial strategies.
Subscription Model
Recurring monthly or annual fee. Lower upfront costs, predictable budgeting, includes all updates and support.
One-Time Sale
Perpetual license with a single, significant upfront investment. Full ownership from day one.
Core Values
Accuracy
Clean, compliant, and correct claims on the first submission.
Efficiency
Streamlining workflows and eliminating redundant manual tasks.
Transparency
Intuitive dashboards and real-time analytics for clear visibility.
Security
Robust protection of patient data and strict HIPAA adherence.
From Integration to Reimbursement
Integration
Secure connection to EHR & PM systems
Workflow
AI assists with charge capture & coding
Review
Proactive scrub for errors & denial risks
Tracking
Real-time status until payment received
Management
Intelligent appeal strategy for denials