AI Charge Reconciliation in Healthcare

Capture Every Charge. Eliminate Revenue Leakage with HealOS.

Charge reconciliation in healthcare ensures that every service delivered is accurately captured, billed, and reimbursed. Manual reconciliation processes miss charges, create mismatches, and leave revenue uncollected. HealOS automates charge reconciliation healthcare workflows using AI. Our platform compares clinical activity, charge capture, and billing data to identify gaps instantly, ensuring no charge is lost, delayed, or underbilled.

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Why Charge Reconciliation Healthcare Is Broken Today

Healthcare organizations lose significant revenue due to incomplete or inaccurate charge reconciliation.

Missed charges from clinical encounters

Delays between documentation and charge entry

Mismatched CPT and diagnosis codes

Incomplete charge capture from ancillary services

Manual audits and spreadsheet tracking

Limited visibility into revenue leakage

Traditional charge reconciliation healthcare workflows are reactive, labor-intensive, and unable to scale. Automation is now essential.

HealOS for Charge Reconciliation Healthcare

HealOS is an AI-powered charge reconciliation platform designed to ensure all billable services are captured and billed correctly. It connects clinical documentation, charge capture systems, and billing workflows into one intelligent reconciliation engine, protecting revenue at scale.

~21 Days

Typical Go-Live Timeline

90%+ of Charges Reconciled Automatically

Charge Reconciliation Automation Coverage

100% Pilot Graduation

Deployment Conversion Rate

How HealOS Automates Charge Reconciliation in Healthcare

Step 1

Clinical Activity Ingestion

HealOS ingests encounter data from EHRs, clinical notes, procedures, and ancillary systems, creating a single source of truth for accurate charge reconciliation healthcare.

Step 2

Charge Capture Comparison

HealOS compares documented clinical services against captured charges to identify missing, delayed, or mismatched entries, eliminating manual audits in charge reconciliation healthcare.

Step 3

AI-Driven Discrepancy Detection

HealOS uses AI to detect charge gaps, underbilling risks, and coding inconsistencies across departments, improving accuracy in charge reconciliation healthcare workflows.

Step 4

Reconciliation & Correction Workflow

HealOS flags charge discrepancies clearly and guides correction before billing submission, reducing downstream denials, rework, and delays in charge reconciliation healthcare.

Step 5

Continuous Revenue Protection

HealOS continuously monitors charge workflows to prevent repeat leakage, strengthen revenue integrity, and improve long-term charge reconciliation healthcare performance.

Core Capabilities for Charge Reconciliation Healthcare

AI-Driven Revenue Integrity

HealOS applies machine learning to detect charge leakage patterns, reconciliation risks, and underbilling issues across healthcare operations, protecting revenue and improving charge reconciliation healthcare accuracy.

Automated Charge Matching

HealOS automatically matches documented clinical services to captured charges, ensuring completeness, accuracy, and consistency across charge reconciliation healthcare workflows.

Multi-System Data Alignment

HealOS reconciles data across EHRs, charge capture tools, and billing systems, creating a unified, accurate revenue view for effective charge reconciliation healthcare.

Charge-to-Billing Continuity

HealOS ensures reconciled charges flow directly into billing and claims workflows without delay, rework, or data loss in charge reconciliation healthcare operations.

End-to-End Charge Reconciliation Automation

From service delivery to claim submission, HealOS automates charge reconciliation healthcare across the entire revenue lifecycle, reducing manual effort and preventing revenue leakage.

Measurable Impact Across Your Revenue Cycle

Track real improvements in charge reconciliation healthcare with fewer missed charges and stronger revenue integrity.

15%

Reduction in Revenue Leakage

100%

Encounter-to-claim matching

70%

Fewer missed charges

200+

Hours/month reclaimed

Who HealOS Is Built For

Hospitals & Health Systems

Reconcile high-volume charges across departments and facilities.

Physician Groups

Ensure every visit and procedure is fully billed.

Behavioral Health Providers

Capture complex service-based charges accurately.

Specialty Clinics

Prevent underbilling tied to specialty workflows.

Telehealth Providers

Reconcile virtual care encounters with confidence.

Security & Compliance

HIPAA Compliant

Secure PHI handling without storage

SOC 2 Type II Certified

Independently audited enterprise security

Secure Authentication

SSO and multi-factor access controls

Frequently Asked Questions

Start Automating Charge Reconciliation in Healthcare

HealOS delivers AI-powered charge reconciliation healthcare that ensures accuracy, completeness, and revenue integrity without increasing administrative burden.

Book a HealOS Demo