The Anomaly Smart Response engine leverages the power of artificial intelligence to reverse engineer payer-specific payment logic. Smart Response applies learnings from your own claims history, as well as from all Anomaly live customer and model training data, so our customers benefit from the "network effect" of this shared learning. SmartResponse powers three distinct applications: 

1. Predict: predicts line-level denials before a claim goes out the door. All predictions are payer-specific and include a predicted denial reason code, and in many cases, we go even further to recommend the next best action for securing payment. This check can be performed pre-billing, or farther ahead in the clinical workflow. Our response time is <10 milliseconds and is available for integration into the workflow via API. 
2. Detect: provides real-time monitoring and alerting of new denial trends and policy changes. These changes could reflect new payer level health policies, new secondary edits from payment integrity vendors, newly enforced payment rules, subjective interpretations of payment rules and errors on the payer side. Detect is delivered via on-demand reporting through our secure customer portal.  
3. Recover: generates immediate ROI by identifying and prioritizing unresolved denials with high likelihood of payment. Recover indicates target claims for resubmission or appeal with specific recommended actions for overturn and recovery. Recover is delivered in real-time via API integration, or can be provided via dashboard based on customer preference and workflow.  

Seamlessly embedded into managed care and revenue cycle workflows, Smart Response provides real-time insights to optimize payments. It pinpoints payer behavior changes that impact revenue, strengthens contract negotiations, and enables proactive claims correction—so providers can fix issues before they lead to costly denials.

With Anomaly, healthcare payments become smarter, faster, and more transparent—ensuring providers get paid what they’ve earned.

Anomaly is the Intelligent Automation Platform for Health Payment, delivering machine-scale solutions for healthcare’s most complicated problem. We bring health payment certainty by exposing payer behavior from live claims data, at scale. By combining deep industry expertise with advanced AI, we uncover hidden barriers to healthcare payment and deliver automated intelligence to resolve issues at the source. As payer logic evolves, our AI adapts—helping providers stay ahead and maximize revenue.

At the heart of our platform is Smart Response, the AI engine reverse-engineering payer logic in real time. By analyzing payment patterns across hundreds of millions of healthcare encounters, Smart Response detects shifts in payer behavior, predicts denials, and identifies opportunity to recover lost revenue—empowering providers to hold payers accountable.

Seamlessly embedded into existing revenue cycle workflows, Smart Response provides real-time insights to optimize payments. It pinpoints payer behavior changes that impact revenue, strengthens contract negotiations, and enables proactive claims correction—so providers can fix issues before they lead to costly denials.

With Anomaly, healthcare payments become smarter, faster, and more transparent—ensuring providers get paid what they’ve earned.

Artera ScheduleCare Helps Streamline Scheduling with 24/7 Online Appointment Booking for Patients

Online Self-Scheduling

• Allow patients to book appointments 24/7 effortlessly by finding available slots and booking appointments without phone calls or staff involvement.

Automated Waitlisting

• Minimize no-shows and optimize slot usage. Patients are notified about earlier openings, keeping your schedule full and optimizing your revenue.

Operational Efficiency

• Eliminate time-consuming manual scheduling with an always-open digital front door that allows staff to focus on care rather than calling.

Enhanced Interoperability

• Integrate smoothly with EHR systems for real-time data updates, reducing errors and streamlining operations.

Unified Experience

• Create a personalized brand experience with your organization’s colors and logo, and streamline all patient communications through one platform, ensuring consistent messaging.

Analytics and Insights

• Use Artera Harmony insights to track patient engagement and refine your messaging strategies, boosting retention and satisfaction.

Why Choose Artera ScheduleCare?

Streamline your scheduling process to acquire and retain more patients, improve operational efficiency, and enhance interoperability with a seamless, user-friendly scheduling experience for your patients.

Acquire and Retain Patients

• Increase patient bookings and revenue
• Leverage conversational messaging to secure the appointment and follow-up
• Enhance patient retention via SendMsg API and via link embed in automated outreach
• Include a self-schedule link in population health campaigns for efficient scheduling and new patient acquisition

Artera, a SaaS leader in digital health, transforms patient experience with AI-powered virtual agents (voice and text) for every step of the patient journey. Trusted by 900+ provider organizations — including specialty groups, FQHCs, large IDNs and federal agencies — engaging 100 million patients annually. Artera’s virtual agents support front desk staff to improve patient access including self-scheduling, intake, forms, billing and more. Whether augmenting a team or unleashing a fully autonomous digital workforce, Artera offers multiple virtual agent options to meet healthcare organizations where they are in their AI journey. Artera helps support 2B communications in 109 languages across voice, text and web. A decade of healthcare expertise, powered by AI.

Founded in 2015, Artera is based in Santa Barbara, California and has been named a Deloitte Technology Fast 500 company (2021 - 2024), and ranked on the Inc. 5000 list of fastest-growing private companies for five consecutive years.

Rule-Based Scheduling Capabilities 

• Help patients quickly find suitable appointment slots based on provider specialty, location, insurance type or condition, while providers benefit from a customizable directory to present their schedules. 

Advanced EHR Integration

• Artera offers discrete writeback capabilities across many leading EHRs