AI-native revenue cycle for outpatient clinics

Bill insurance in seconds, not weeks.

CPT IQ reads your superbills, assigns CPT and ICD-10 codes, verifies eligibility, and submits clean claims — so your front desk stops chasing payers and your clinic gets paid.

Live claim feedcpt-iq · today
  • 99213Office visit, est. patientSubmitted0.4s
  • 93000Electrocardiogram, routineCoded0.7s
  • G0439Annual wellness visitEligibility ✓1.1s
  • 20610Joint injection, majorPaid
EHR-agnosticHIPAA-alignedClearinghouse-readyERA / EOB auto-post270/271 eligibility

How it works

A billing team that never sleeps, never miscodes, never forgets to follow up.

  1. 01

    Ingest

    Drop superbills, face sheets and insurance cards — or connect your EHR for continuous sync.

    SuperbillsFace sheetsEHR sync
  2. 02

    Auto-code

    Our model reads encounter notes and assigns the correct CPT, ICD-10 and modifiers with payer-specific rules.

    CPTICD-10Modifiers
  3. 03

    Verify

    Eligibility runs electronically, falls back to payer portals, and to an AI phone agent when needed.

    270/271PortalVoice agent
  4. 04

    Submit

    Clean claims go out automatically. Anything risky is flagged for a human in one shared queue.

    Clean claimScrubReview
  5. 05

    Reconcile

    ERAs and EOBs are parsed and posted to the right service lines. Denials are worked, not filed away.

    ERAEOBDenials

Posting & denials

Payments post themselves. Really.

CPT IQ matches ERAs and EOBs against the right service lines and posts payments automatically — no manual reconciliation, no spreadsheets, no follow-up queues to babysit.

  • Zero manual posting for clean payments
  • Line-level reconciliation across every payer
  • Clear, itemized posting you can audit at a glance
ERA · 835Auto-posted
●●●● · Office visit$●●●.●●Paid
●●●● · ECG$●●.●●Paid
●●●● · Lab panel$●●.●●Paid
●●●● · Venipuncture$●.●●Paid
On call · Aetna04:12 elapsed
  • 0:02AgentCalling Aetna provider services for member ID W21458833…
  • 0:48IVRNavigated 4 menus · authenticated as Tax ID 84-2210***
  • 2:15RepClaim 8842-CPT denied — missing modifier 25.
  • 2:31AgentLogged reason. Drafting corrected claim with modifier 25.
Full transcript + recording saved to claimauto-filed

Automated calling

An AI voice agent that waits on hold with payers.

When a payer portal won't answer the question, CPT IQ picks up the phone. Our voice agent calls insurance companies, navigates IVR menus, authenticates, and gets the answer — then files the transcript against the claim.

  • Eligibility, claim status, and denial follow-ups — fully automated
  • Runs 24/7, including the 38 minutes the rep keeps you on hold
  • Every call recorded, transcribed and attached to the right claim

Patient responsibility

Statements that actually get paid.

After insurance posts, patients are reached on the channel they actually use — with a one-tap link to settle the balance.

SMS

channel

Short, branded message with an embedded pay link.

78%open rate

Email

channel

Itemized invoice and a one-click portal.

3.2xvs. mailed

Mail

channel

Auto-printed and shipped only when needed.

0manual envelopes

Pricing

Simple, transparent pricing.

No setup fees. No hidden charges. You only pay for what you use.

HIPAA compliantSOC 2Price match guarantee

For founding clinics

Let's get your days in A/R back under 20.

We're working closely with a handful of clinics to shape CPT IQ. If that sounds like you, we'd love to talk.