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The End of Manual Claim Scrubbing

Deploy autonomous AI agents that instantly parse clinical notes, assign accurate codes, and clear complex payer rules — submitting cleaner claims so your team only touches the exceptions.

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Instead of relying on rigid rules, Evanthys learns your unique payer mix and billing patterns to automate nearly every step of the claim journey with high precision.

Let your team focus on exceptions vs. repetitive, time consuming tasks.

CLAIM AUTOMATION BY STEP

Medical Records Parsing & Uploads

Total: 5,576

99% auto · 1% manual

Automated 5,520

56 manual

Coding

Total: 5,520

98.5% auto · 1.5% manual

Automated 5,437

83 manual

Submission

Total: 5,437

98.2% auto · 1.8% manual

Automated 5,339

98 manual

Accepted by Clearinghouse

Total: 5,339

98.1% auto · 1.9% manual

Automated 5,238

101 manual

Diagnoses (ICD-10) Codes Review

Add Diagnosis

Code

Description

K76.0

Fatty (change of) liver, not elsewhere classified

N95.1

Menopausal and female climacteric states

Z68.42

Body mass index [BMI] 45.0-49.9, adult

CPT Procedure Codes Review

Add Code

Code

Description

Modifier

Pointer

Primary Code

99213 - PATIENT VISIT - Established Patient

PATIENT VISIT - Established Patient

Select

K76.0, N95.1

Secondary Code

3077F - SYST BP >= 140 MM HG6 IT

SYST BP >= 140 MM HG6 IT

Select

K76.0, N95.1

3rd Code

3080F - DIAST BP >= 90 MM HG

DIAST BP >= 90 MM HG

Select

K76.0, N95.1

4th Code

G8417 - BMI >=30 calculated w/followup

BMI >=30 calculated w/followup

Select

K76.0, N95.1

Smartly Coded

Imagine a team of AI billers that knows all your payer rules, exceptions, carve-outs, and the history of what gets paid and what gets denied. Evanthys captures your medical notes and converts them into high quality coded visits.

While automation does the heavy lifting, rest assured your teams can review all claims and easily apply new rules, flags or conditions to stay on top of coding quality every step of the way.

Scrubbed & Submitted

Remove the bottlenecks of traditional practice management systems. Evanthys continuously learns from your specific claim acceptance and denial history to submit the cleanest claims possible.

Intelligent Submission Board
Clean claims auto‑submitted>98%
Claims needing review~1%
Blocked by payer rules5–6%
Rules refresh automatically with payer bulletins, coding updates, and your own operating playbooks.

Denial resolution timelines

Industry average resolution

20–30 days

With Evanthys AI agents

3–4 days

Automated actions per denial

Claim replacements auto‑drafted with corrected codes

Claim resubmissions prepared with updated payer guidance

Supporting documents collected and uploaded to portals

Full trail of interactions for appeal packets

Denials Resolved

Evanthys AI agents pursue denials continuously—preparing replacements, resubmissions, and documentation bundles so you see decisions in days instead of weeks.

Watch denial rates plummet as cleaner claims go out the door and denial agents scrub claims at the payer level to fix and resolve before EDI details are even available.

Denial Rate

15%12%9%6%3%Aug 2025Sep 2025Oct 2025Nov 2025Dec 2025
Real-Time Payer Policy Updates

Evanthys continuously fetches information from payer portals, coverage bulletins, and medical policies—bringing you up-to-date, real-time guidance on how each claim should be coded and supported.

Continuous fetches of payer rules, edits, and policies

Real-time updates fed into denial prevention and resubmission flows

Clear rationale on why a claim was adjusted and how to fix it

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Payer B

Payer C

Payer D