AI Claim Status Tracking in Healthcare with HealOS

Real-Time Claim Visibility & Payments with HealOS

Claim status tracking in healthcare is critical to maintaining healthy cash flow. Manual payer portals, delayed updates, and reactive follow-ups leave claims stuck in limbo and revenue delayed. HealOS automates claim status healthcare workflows using AI. Our platform continuously tracks claim status across payers, clearinghouses, and systems, surfaces delays instantly, and triggers proactive follow-ups, ensuring claims move forward without manual effort.

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Why Claim Status Tracking Healthcare Is Broken Today

Healthcare organizations lose time and revenue due to poor claim visibility and delayed payer responses.

Manual logins across multiple payer portals

No real-time claim status visibility

Delayed identification of stalled claims

Missed follow-up deadlines

Reactive denial discovery

Staff time wasted on status checks

HealOS for Claim Status Tracking Healthcare

HealOS is an AI-powered claim status tracking platform designed to monitor claims continuously from submission to payment. It connects claim data, payer responses, and workflow automation into one intelligent system, giving revenue teams real-time visibility and control across the claim lifecycle.

~21 Days

Typical Go-Live Timeline

90%+ of Claims Tracked Automatically

Claim Status Automation Coverage

100% Pilot Graduation

Deployment Conversion Rate

How HealOS Automates Claim Status Tracking in Healthcare

Step 1

Claim Status Data Ingestion

HealOS ingests claim status updates from clearinghouses, payer portals, EDI responses, and billing systems, creating a unified claim status view.

1

Step 2

Continuous Status Monitoring

HealOS monitors claims in real time, tracking submission, receipt, pending, adjudication, and payment stages across all payers.

2

Step 3

Delay & Exception Detection

HealOS uses AI to detect stalled claims, abnormal processing times, and missing payer actions before revenue is impacted.

3

Step 4

Automated Follow-Up Triggers

HealOS triggers automated follow-ups, tasks, or escalations based on claim status rules, payer SLAs, and aging thresholds.

4

Step 5

Resolution & Workflow Updates

HealOS updates claim workflows automatically, syncing status changes to billing, denial management, and payment posting systems.

5

Core Capabilities for Claim Status Tracking Healthcare

Real-Time Claim Status Monitoring

HealOS connects with payer portals and clearinghouses to track claim status in real time, eliminating manual checks and providing continuous visibility across healthcare claims processing.

Intelligent Claim Status Interpretation

HealOS interprets complex payer status codes and translates them into clear, actionable next steps, helping billing teams understand exactly how to move each claim forward.

Proactive Delay & Stalled Claim Alerts

HealOS flags delayed, stalled, or at-risk claims automatically and alerts teams early, preventing cash flow disruption and reducing aging in claim status healthcare workflows.

Prioritized Follow-Up Workflows

HealOS prioritizes claim follow-ups by urgency, payer rules, aging, and balance amount, helping teams focus on high-impact claims and reduce accounts receivable days.

Denials & Resubmission Integration

HealOS integrates claim status tracking with denial management, automatically flagging rejected claims and triggering correction and resubmission workflows to accelerate resolution.

Centralized Claim Visibility Across Payers

HealOS consolidates claim status updates from all payers into one unified dashboard, giving revenue teams complete visibility without navigating multiple payer systems.

Measurable Impact Across Your Revenue Cycle

Track real improvements in claim status healthcare with faster follow-ups and fewer delayed payments.

35%

Faster Claim Resolution

90%

Reduction in Manual Status Checks

30%

Decrease in aging claims

Who HealOS Is Built For

Hospitals & Health Systems

Track claim status at scale across departments and facilities.

Physician Groups

Reduce follow-up delays and stabilize cash flow.

Behavioral Health Providers

Manage complex payer timelines with confidence.

Specialty Clinics

Monitor high-value claims without added staff.

Telehealth Providers

Track virtual care claims across multiple payers efficiently.

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 Claim Status Tracking in Healthcare

HealOS delivers AI-powered claim status tracking healthcare that improves visibility, accelerates follow-ups, and speeds reimbursement without increasing workload.

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