Covered began as a services business (fighting denials in exchange for a percent of what we recover) and has now developed a software product that we are licensing based on our experiences fighting denials and feedback from RCM professionals. Covered can generate appeal letters, and helps RCM specialists fight and prevent denials by layering AI on top of previously diverse and unconnected databases (medical policies, FDA guidelines, LCD's, etc.). This allows them to identify denial root causes, and is used pre-submission and post-denial. We have paying customers and have been around for nearly two years.

Processing insurance claims can be a labor-intensive task, involving extensive documentation, data entry, and manual effort. CampTek has an Intelligent Automation solution will do the following things:

• The integration of AI identifies problematic payors and claim types. These types of issues can be remediated via System configurations or through automation.   
• Larger more repetitive workflows can also be automated at scale.  
• This an end-to-end solution can be implemented to solve the issues with a claim before it is submitted but also as a continuous improvement of workflows.  

Automated Data Extraction and Transmission:

It will automate the extraction and transmission of data related to the insurance claim in any EHR/EMR, payor portal and clearing house. 

Unstructured data, such as handwritten notes or scanned documents, can be automatically extracted and organized and entered into an EMR/EHR, ERP System, payor portal or clearing house website. It’s accurate and consistent.  

Average Annual KPI’s for a Provider with $3B Annual Net Patient Revenue:

• Efficiency and accuracy increased by 48% 
• Accelerates reimbursement by 38% 
• Reduces rework and denials by 30% 

CampTek Software is a Full-Life-Cycle Intelligent Automation/AI SaaS Provider with proven results implementing and supporting automation solutions through our successful methodology. Our unique hosted model offers many powerful advantages including a shorter time to market, 24/7 support and overall lower cost of entry. Our approach is simple, scalable and repeatable.

CampTek will be with you on every step of your RPA & AI Journey!

Denial Prevention tools: Approximately 50% of denials can be prevented, but even if you send "cleaner claims", you’re beholden to the next algorithm shift that (often incorrectly) automates denials. What about the 50% that are not preventable, where you've done everything right? 

Incumbent RCM software companies: Move slowly, denials not a core focus area, and with older solutions, the tech is not easy to use or modern. Our sole focus is excellence in the prevention and addressing of denials. 

New Entrants / Direct Competitors: Very new, and in a fragmented physician market, there are billions of dollars in denials to attack. Most importantly, while these are also based in AI/LLM's, our focus is on truth. What does the payer say they will cover, and how does that match up to what was done? This is a key differentiator.  

We offer Intelligent Automation as a Managed Service and have successfully built automations for every major EHR.

We not only focus on development but also full support of bots once they are in production. Each bot has its own custom dashboard view so that our customers are continuously informed of its daily trransaction metrics and KPIs.