Claims Management
Claim creation, scrubbing, submission, and status tracking end to end.
AI claim-error detection ClaimsBrainvire builds medical billing and revenue-cycle platforms: claims, coding, eligibility, denials, and patient billing, HIPAA-compliant and wired into your EHR, with AI in the build.
Trusted by healthcare and provider teams worldwide
/ Healthcare, on the record
Every figure below comes from a documented engagement. Every card is one client, on the record.
Healthcare · HIPAA
[4M]
Medical records processed on AWS
A HIPAA-compliant solution successfully processed over 4 million medical records on AWS servers, built for security and scale.
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Healthcare · Platform
[2M]
Patients connected on one platform
An Epic healthcare app connected a community of 8,000 doctors, 17,500 pharmacists, and 2 million patients on one platform.
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Healthcare · Web Platform
[4X]
Web performance for a dental chain
A cloud-and-web transformation rebuilt a leading dental chain’s platform, lifting web performance by 4X across the operation.
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Health & Fitness · Platform
[29%]
Improvement in online sales post-launch
A custom platform for a Malaysia-based sports and fitness leader improved online sales by 29% post-launch.
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/ What we build
Eight practice areas, one roof. AI runs inside each, not sold as a ninth service.
Claim creation, scrubbing, submission, and status tracking end to end.
AI claim-error detection ClaimsICD-10, CPT, and HCPCS coding workflows with validation built in.
AI-assisted code suggestion ICD-10 · CPTReal-time insurance eligibility and benefits verification before service.
AI eligibility pre-check EligibilityDenial tracking, appeals, and root-cause analysis to recover revenue.
AI denial prediction DenialsStatements, online payments, and payment plans for the patient side.
AI-scored payment likelihood Patient PayIntegration with EHR, EDI clearinghouses, and payer systems via HL7/FHIR.
AI-assisted data mapping HL7 · FHIR · EDIRCM dashboards, KPIs, and HIPAA-compliant audit trails on one system.
AI anomaly detection HIPAA · RCMManaged billing platform: monitoring, upgrades, and continuous optimization.
AI-triaged monitoring & alerts 24×7 Managed Services/ AI, built in
Models suggest CPT and ICD-10 codes from clinical notes and flag gaps before submission.
Agents check eligibility, scrub claims, and chase denials without manual work queues.
Models score each claim's denial risk and forecast payment timing across payers.
Automated audits catch coding errors and HIPAA exposure before claims go out.
/ Accelerators
Each accelerator packages the playbooks, pre-built components, and AI tooling from dozens of prior healthcare programs, so the riskiest step of your roadmap is already two-thirds built.
A pre-built revenue-cycle core with claims, coding, eligibility, and patient billing, so a new billing platform starts from a running base.
AI claim scrubbing that flags coding and eligibility errors before submission to cut denials at the source.
Pre-built HIPAA controls wired into the billing platform from day one: encryption, access logging, and audit trails.
A pre-built AI layer that predicts and prevents denials and prioritizes appeals by recovery value.
/ Industries
Each vertical has dedicated teams, pre-built data models, and reference architectures shaped by hundreds of engagements.
Omnichannel platforms with unified inventory, AI merchandising, and storefronts that learn from every order.
See Retail & eCommerce work →HIPAA-conscious patient platforms, operational AI, and connected systems for providers and pharmacies.
See Healthcare work →Secure lending, payments, and decision-intelligence platforms built for audits, uptime, and scale.
See Finance & Fintech work →Dealer commerce, VIN & fitment catalogs, and service platforms connected to live inventory nationwide.
See Automotive work →PropTech platforms, CRM-ERP integration, and AI valuation models for developers and brokerages.
See Real Estate work →Route intelligence, warehouse automation, and end-to-end shipment visibility on one operational spine.
See Logistics work →Content platforms, subscription commerce, and audience analytics that turn viewers into recurring revenue.
See Media work →Learning platforms, enrollment systems, and AI tutoring experiences for institutions and edtech firms.
See Education work →/ In their words
Brainvire demonstrated reliability, a commitment to delivery, and helped us maintain momentum on critical roadmap items.
/ Recognition
Top eCommerce Developers
2025The Americas’ Fastest-Growing Companies
2025Fastest-growing private companies in America
2024North America’s fastest-growing tech companies
/ Next step
A 30-minute working session with a Brainvire architect: your revenue cycle, integrations, and AI roadmap, on one page.
Book a Working Session →Cookies on this site
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