AI Explanation of Benefits (EOB) Processing
AI Explanation of Benefits (EOB) Processing
Automate your revenue cycle management
Automate your revenue cycle management
V7 Go's agent automates the data entry from Explanation of Benefits (EOB) and remittance advice documents, accurately capturing payment, adjustment, and denial information to accelerate cash posting.
What is it
What is it
Automating Healthcare Revenue Cycle
An Explanation of Benefits (EOB) is a document from an insurer detailing how a medical claim was processed. It's critical for healthcare revenue cycle management.
How is it solved today?
Billing staff manually key in data from thousands of unique EOB formats into practice management systems a process that is slow costly and full of errors.
How is it solved today?
Billing staff manually key in data from thousands of unique EOB formats into practice management systems a process that is slow costly and full of errors.
How is it solved today?
Billing staff manually key in data from thousands of unique EOB formats into practice management systems a process that is slow costly and full of errors.
Why V7 Go
V7 Go's agent automatically reads any EOB format and extracts all payment adjustment and denial data with near-perfect accuracy for automated cash posting.
Why V7 Go
V7 Go's agent automatically reads any EOB format and extracts all payment adjustment and denial data with near-perfect accuracy for automated cash posting.
Why V7 Go
V7 Go's agent automatically reads any EOB format and extracts all payment adjustment and denial data with near-perfect accuracy for automated cash posting.
Time comparison
Time comparison
Time comparison
Traditional way
5-10 minutes per EOB
5-10 minutes per EOB
With V7 Go agents
<30 seconds
<30 seconds
Average time saved
95%
95%
Why V7 Go
Process Explanation of Benefits (EOBs) from any payer.
Extract payment details, adjustment codes, and patient responsibility.
Workflow
Workflow
Import your files
Epic
,
Cerner
,
Athenahealth
Explanation of Benefits (EOBs)
Explanation of Benefits (EOBs)
Explanation of Benefits (EOBs)
Electronic Remittance Advice (ERAs)
Electronic Remittance Advice (ERAs)
Electronic Remittance Advice (ERAs)
Claim Forms (CMS-1500, UB-04)
Claim Forms (CMS-1500, UB-04)
Claim Forms (CMS-1500, UB-04)
Prior Authorization Forms
Prior Authorization Forms
Prior Authorization Forms
Medical Records
Medical Records
Medical Records
Superbills
Superbills
Superbills
Patient & Provider Information
Patient & Provider Information
Patient & Provider Information
Date of Service & CPT/HCPCS Codes
Date of Service & CPT/HCPCS Codes
Date of Service & CPT/HCPCS Codes
Billed Amount per Line Item
Billed Amount per Line Item
Billed Amount per Line Item
Allowed Amount per Line Item
Allowed Amount per Line Item
Allowed Amount per Line Item
Paid Amount by Payer
Paid Amount by Payer
Paid Amount by Payer
Patient Responsibility (Deductible, Co-pay)
Patient Responsibility (Deductible, Co-pay)
Patient Responsibility (Deductible, Co-pay)
Claim Adjustment & Denial Reason Codes
Claim Adjustment & Denial Reason Codes
Claim Adjustment & Denial Reason Codes
Check / EFT Number
Check / EFT Number
Check / EFT Number
Group & Policy Numbers
Group & Policy Numbers
Group & Policy Numbers
Claim-Level Adjudication Details
Claim-Level Adjudication Details
Claim-Level Adjudication Details
Why V7 Go
Why V7 Go
Automated Data Capture
Extract all key data from any EOB, including patient info, CPT codes, billed amounts, allowed amounts, and patient responsibility.
Automated Data Capture
Extract all key data from any EOB, including patient info, CPT codes, billed amounts, allowed amounts, and patient responsibility.
Automated Data Capture
Extract all key data from any EOB, including patient info, CPT codes, billed amounts, allowed amounts, and patient responsibility.
Line-Item Level Detail
The agent captures every single service line, including the specific adjustment and denial reason codes for each.
Line-Item Level Detail
The agent captures every single service line, including the specific adjustment and denial reason codes for each.
Line-Item Level Detail
The agent captures every single service line, including the specific adjustment and denial reason codes for each.
Payer Format Agnostic
The AI is trained to read and understand the unique EOB formats from hundreds of different insurance payers, without needing custom templates.
Payer Format Agnostic
The AI is trained to read and understand the unique EOB formats from hundreds of different insurance payers, without needing custom templates.
Payer Format Agnostic
The AI is trained to read and understand the unique EOB formats from hundreds of different insurance payers, without needing custom templates.
Denial Management
Dramatically speed up the process of posting payments and adjustments to patient accounts in your practice management system.
Denial Management
Dramatically speed up the process of posting payments and adjustments to patient accounts in your practice management system.
Denial Management
Dramatically speed up the process of posting payments and adjustments to patient accounts in your practice management system.
Denial Management
Automatically categorize claim denials by reason code, allowing your team to quickly identify trends and prioritize appeals.
Denial Management
Automatically categorize claim denials by reason code, allowing your team to quickly identify trends and prioritize appeals.
Denial Management
Automatically categorize claim denials by reason code, allowing your team to quickly identify trends and prioritize appeals.
Reduced Clerical Errors
Eliminate the manual data entry errors that lead to billing inaccuracies and costly rework.
Reduced Clerical Errors
Eliminate the manual data entry errors that lead to billing inaccuracies and costly rework.
Reduced Clerical Errors
Eliminate the manual data entry errors that lead to billing inaccuracies and costly rework.
V7 Go
V7 Go
V7 Go
AI-powered revenue cycle management
AI-powered revenue cycle management
for healthcare providers
Healthcare providers are buried under a mountain of paperwork from insurance payers. Revenue cycle management teams spend thousands of hours manually transcribing data from Explanation of Benefits (EOB) documents into their billing systems. This process is slow, costly, and riddled with errors, leading to incorrect patient bills, delayed revenue recognition, and a constant backlog of unposted cash.
Medical Billing Companies
Automate the most labor-intensive part of your service, allowing you to process more claims for more clients with higher accuracy and lower costs.
Medical Billing Companies
Automate the most labor-intensive part of your service, allowing you to process more claims for more clients with higher accuracy and lower costs.
Medical Billing Companies
Automate the most labor-intensive part of your service, allowing you to process more claims for more clients with higher accuracy and lower costs.
Hospital & Clinic RCM Teams
Clear backlogs, accelerate cash posting, and gain better insights into denial patterns by automating EOB data entry.
Hospital & Clinic RCM Teams
Clear backlogs, accelerate cash posting, and gain better insights into denial patterns by automating EOB data entry.
Hospital & Clinic RCM Teams
Clear backlogs, accelerate cash posting, and gain better insights into denial patterns by automating EOB data entry.
Delegate EOB processing
Delegate EOB processing
to a healthcare AI agent
to a healthcare AI agent
Line-Item Level Detail
The agent captures every single service line including the specific adjustment and denial reason codes for each.
Payer Format Agnostic
The AI is trained to read and understand the unique EOB formats from hundreds of different insurance payers without needing custom templates.
More agents
Next steps
Stop manually keying in data from paper EOBs.
Let's talk
You’ll hear back in less than 24 hours
Next steps
Stop manually keying in data from paper EOBs.
Let's talk
Next steps
Stop manually keying in data from paper EOBs.
Let's talk
You’ll hear back in less than 24 hours
FAQ
FAQ
FAQ
Have questions?
Find answers.
What is an Explanation of Benefits (EOB)?
An EOB is a statement sent by a health insurance company to its members explaining what medical treatments and services were paid for on their behalf. Healthcare providers use them to reconcile payments.
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What is an Explanation of Benefits (EOB)?
An EOB is a statement sent by a health insurance company to its members explaining what medical treatments and services were paid for on their behalf. Healthcare providers use them to reconcile payments.
+
What is an Explanation of Benefits (EOB)?
An EOB is a statement sent by a health insurance company to its members explaining what medical treatments and services were paid for on their behalf. Healthcare providers use them to reconcile payments.
+
How can the agent read so many different EOB formats?
V7 Go's AI understands the structure and language of medical billing contextually. It can identify key fields like 'Allowed Amount' or 'Patient Co-pay' regardless of where they appear on the page or what they are called.
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How can the agent read so many different EOB formats?
V7 Go's AI understands the structure and language of medical billing contextually. It can identify key fields like 'Allowed Amount' or 'Patient Co-pay' regardless of where they appear on the page or what they are called.
+
How can the agent read so many different EOB formats?
V7 Go's AI understands the structure and language of medical billing contextually. It can identify key fields like 'Allowed Amount' or 'Patient Co-pay' regardless of where they appear on the page or what they are called.
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What is the difference between an EOB and an ERA (Electronic Remittance Advice)?
An ERA is the electronic version (an EDI 835 file). While ERAs are ideal, providers still receive a huge volume of paper/PDF EOBs. The V7 Go agent is designed to handle these non-standard paper documents.
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What is the difference between an EOB and an ERA (Electronic Remittance Advice)?
An ERA is the electronic version (an EDI 835 file). While ERAs are ideal, providers still receive a huge volume of paper/PDF EOBs. The V7 Go agent is designed to handle these non-standard paper documents.
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What is the difference between an EOB and an ERA (Electronic Remittance Advice)?
An ERA is the electronic version (an EDI 835 file). While ERAs are ideal, providers still receive a huge volume of paper/PDF EOBs. The V7 Go agent is designed to handle these non-standard paper documents.
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How does this integrate with our medical billing software?
The structured data extracted by the agent can be formatted and delivered via API to be automatically posted into major practice management and EMR systems like Epic, Cerner, or Athenahealth.
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How does this integrate with our medical billing software?
The structured data extracted by the agent can be formatted and delivered via API to be automatically posted into major practice management and EMR systems like Epic, Cerner, or Athenahealth.
+
How does this integrate with our medical billing software?
The structured data extracted by the agent can be formatted and delivered via API to be automatically posted into major practice management and EMR systems like Epic, Cerner, or Athenahealth.
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Can it process EOBs for both professional and institutional claims?
Yes, the agent is trained to handle both UB-04 (hospital) and CMS-1500 (physician) claim formats and their corresponding EOBs.
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Can it process EOBs for both professional and institutional claims?
Yes, the agent is trained to handle both UB-04 (hospital) and CMS-1500 (physician) claim formats and their corresponding EOBs.
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Can it process EOBs for both professional and institutional claims?
Yes, the agent is trained to handle both UB-04 (hospital) and CMS-1500 (physician) claim formats and their corresponding EOBs.
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What is the primary benefit for a healthcare provider?
It significantly reduces the cost and time of revenue cycle management. It allows providers to post cash faster, identify denial trends, and reallocate staff from manual data entry to higher-value activities like patient follow-up and appeals.
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What is the primary benefit for a healthcare provider?
It significantly reduces the cost and time of revenue cycle management. It allows providers to post cash faster, identify denial trends, and reallocate staff from manual data entry to higher-value activities like patient follow-up and appeals.
+
What is the primary benefit for a healthcare provider?
It significantly reduces the cost and time of revenue cycle management. It allows providers to post cash faster, identify denial trends, and reallocate staff from manual data entry to higher-value activities like patient follow-up and appeals.
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