Champ AI
Healthcare automation

Claims recovery & payer follow-up

Work every recoverable claim to resolution.

Champ checks status, resolves administrative denials, assembles appeal evidence, and follows up across portals, calls, and documents until each claim is paid, exhausted, or escalated.

HIPAA-ready Managed by Champ Self-healing

Claims recovery queue

Prioritized by recoverability, deadline, and dollars

Live
Work itemStatus
01

Claim status

Payer portals checked this morning

Current
02

Denial triage

Reason codes mapped to next action

Ready
03

Missing attachment

Clinical document located and packet assembled

Running
04

Deadline risk

3 cases routed with a complete claim timeline

Escalated

EXECUTION

Continuous

EVIDENCE

Every step

OWNER

Champ

Continuous

payer follow-up

Deadline-first

recovery prioritization

Every action

captured in one timeline

The operational bottleneck

A balance is not a recovery plan.

Revenue cycle teams lose time finding status, interpreting payer responses, and rebuilding appeal context. Fresh denials and aged balances compete for the same attention until deadlines pass and recoverable revenue becomes a write-off.

Bring us your workflow
01

Claim status is distributed across payer-specific portals and phone systems

02

Denial reasons require different evidence, corrections, and next actions

03

Follow-up cadence depends on manual worklists, notes, and spreadsheets

04

The oldest recoverable claims lose priority to today's production work

The production workflow

One continuous operation, not another disconnected tool.

Champ coordinates browser, document, API, voice, and human steps around the outcome your team is responsible for.

  1. 01
    Build the recovery queue

    Bring fresh denials and aged inventory into one worklist, then prioritize each claim by balance, filing risk, payer, and recoverability.

  2. 02
    Investigate every payer response

    Check portals, call payers, review remits and correspondence, normalize the status, and identify the required next action.

  3. 03
    Complete the next action

    Supply missing documents, correct explicit data or routing issues, prepare appeal evidence, respond to requests, and resubmit within approved guardrails.

  4. 04
    Persist until there is an outcome

    Track every next date and follow-up until the claim is paid, exhausted under agreed rules, or escalated with a complete case timeline.

Why it stays reliable

Built around the work, not a brittle integration map.

Your systems can stay exactly where they are. Champ operates across them, records what happened, and improves the workflow as the process changes.

One normalized recovery queue
Turn inconsistent payer responses into clear statuses, deadlines, next actions, and ownership across the full claim inventory.
Portal, document, and voice execution
Use the channel each payer requires, recover when portal interfaces change, and keep completed work intact in the same claim case.
Claim-level evidence and guardrails
Capture every response and submission while routing coding, medical necessity, contractual, and clinical judgment to authorized staff.

Works with your stack

If your team can access it, Champ can work in it.

Use APIs where they are dependable and managed browser agents everywhere else. No rip-and-replace required.

AvailityUnitedHealthcare portalsAetna and Cigna portalsBlue Cross Blue Shield portalsPractice-management systemsEHR systemsClearinghousesPhone and IVRDocument repositories

Change the operating model

Give your team exceptions, not another queue to babysit.

Manual operation
More volume becomes more repetitive work.
  • Staff check portals one claim at a time
  • Worklists go stale between status checks
  • Appeal context is reconstructed for every touch
  • Fresh work crowds out older recoverable balances
Recommended
Operated by Champ
More volume becomes more completed outcomes.
  • Status and follow-up run continuously across the inventory
  • Every claim carries a current status and next action
  • Evidence follows the claim from denial through resolution
  • Specialists receive only the cases that need judgment
See the workflow run

More healthcare workflows

One platform across the back office.

Insurance eligibility & benefits verification
Champ verifies commercial, Medicare, Medicaid, and Medi-Cal coverage across every required source, then completes the plan-specific work that a standard eligibility response leaves behind, including benefits, authorization requirements, and ECM qualification.
Explore workflow
Provider credentialing & enrollment
Champ keeps provider profiles complete, submits enrollments across payer portals, follows every application, and sends only true exceptions to your credentialing team.
Explore workflow
Referral intake & submission automation
Champ reads incoming referrals, validates the packet, creates the patient record, submits through the required portal or fax channel, and follows every case until it is accepted or needs review.
Explore workflow

Claims recovery & payer follow-up FAQ

Questions healthcare operators ask first.

You have more questions?

Send us an email

Do the work of fifty
without hiring one more.

Eligibility
Verification
Claims
Payroll
Book a demo
Carrier check-in
Patient intake
Benefits
Credentialing
Credentialing