AI-Powered EOB Extraction & Automation for Healthcare

Turn Complex EOBs into Clean, Reconciled Payments Automatically

HealOS delivers end-to-end automation for EOB extraction, posting, and reconciliation. Our AI reads, extracts, validates, and matches EOB data in seconds, eliminating manual entry, reducing denials, and accelerating cash flow for healthcare organizations of all sizes.

AI-Powered EOB Extraction & Automation

The Problem. The Impact. The HealOS Solution.

Manual EOB processing creates bottlenecks that delay payments and increase costs. HealOS AI EOB extraction eliminates these challenges with intelligent automation that works instantly.

The ProblemThe ImpactThe HealOS Solution
Manual data entry for EOBs is slow and error-prone.Posting delays, backlogs, and increased days in A/R.AI extracts and posts EOB data automatically with 95%+ accuracy.
Multiple EOB formats (PDF, fax, scans) overwhelm billing teams.Staff burnout and inconsistent processing speed.Intelligent OCR processes any EOB format instantly and uniformly.
Payment matching and reconciliation require hours of manual review.Slower cash flow and reduced revenue visibility.AI automatically matches payments to claims and reconciles in real time.
Errors lead to denials, rework, and incorrect patient balances.Lost revenue, compliance risk, and patient dissatisfaction.Automated validation detects discrepancies and prevents billing errors.
Scaling EOB volume requires hiring more staff.Higher operational costs and reduced efficiency.Automation handles unlimited EOB volume with no additional labor.

Proven Outcomes with AI EOB Extraction

HealOS delivers measurable results that transform revenue cycle operations.

95%+
Extraction Accuracy
AI identifies payment amounts, adjustments, service lines, codes, and patient responsibility with precision.
80%
Reduction in Manual Work
Automated EOB processing replaces hours of manual data entry, verification, and posting.
3x
Faster Reconciliation
Accelerate EOB reconciliation automation with instant matching and exception handling.
24/7
Automated Processing
Payments get posted the moment EOBs arrive, no delays, no backlog.

AI-Powered EOB Extraction Features

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1. Intelligent OCR & Data Extraction

HealOS uses advanced OCR EOB extraction to capture patient details, billed amounts, allowed amounts, adjustments, and reason codes with 95%+ accuracy. The AI interprets line items, payer variations, abbreviations, and non-standard formats with unmatched precision.

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2. Multi-Format EOB Support

Our AI document automation for healthcare processes: Paper EOB scans, PDFs, Faxed EOBs, EDI files, Portal downloads, Email attachments. Every format is automatically normalized for accurate extraction.

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3. Automated Payment Matching

EOB automation software instantly links payments to claims, encounters, CPT/HCPCS lines, and patient ledgers. AI checks for balance alignment, flags mismatches, and routes discrepancies for review.

4. Real-Time Reconciliation

Automated EOB processing posts all payments immediately: Allowed amounts, Paid amounts, Write-offs, Adjustments, Patient responsibility. Reconciliation completes in minutes instead of days.

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5. Discrepancy Detection & Alerts

AI identifies: Underpayments, Missing adjustments, Incorrect payment amounts, Contract variances, Suspicious denial codes. Your team reviews only exceptions AI handles the rest.

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6. Patient Responsibility Calculation

HealOS calculates co-pays, coinsurance, deductibles, and secondary responsibility automatically. Patient statements stay accurate and up to date.

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7. Denial Code & Reason Code Extraction

HealOS captures all: CARCs, RARCs, Denial reasons, Payment explanations. Perfect for denial management and rework planning.

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8. Batch Processing for High Volume

Process hundreds or thousands of EOBs at once. No limits. No extra staff.

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9. Full EHR & RCM Integration

HealOS connects with: Epic, Cerner, Athenahealth, eClinicalWorks, DrChrono, Kareo, AdvancedMD, NextGen, and 150+ platforms.

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10. Compliance & Audit Trail

HIPAA-compliant workflows with complete timestamped logs of every extraction, posting, and adjustment for audit readiness.

Key Benefits of HealOS AI EOB Extraction

Transform your revenue cycle with AI-powered EOB automation that improves efficiency, accuracy, and cash flow

Operational Efficiency

Eliminate Manual Data Entry

AI extracts every field from every EOB, patient info, billed amounts, allowed amounts, adjustments, reason codes, and more.

Reduce Administrative Work by 80%

Teams process up to 500% more EOBs without hiring additional staff.

Scale Without Adding Staff

Grow volume without increasing headcount or training new billing staff.

Financial & Administrative Benefits

Improve Accuracy & Reduce Denials

Automation removes human error, ensuring cleaner claims and fewer downstream corrections.

Accelerate Cash Flow

Automated EOB processing shortens the time between receiving EOBs and posting payments.

Ensure Compliance

HIPAA-compliant infrastructure protects protected health information at every step.

Patient Experience Benefits

Enhance Patient Billing Experience

Accurate patient statements reduce confusion, disputes, and call volume.

How HealOS EOB Automation Works

A seamless, automated workflow that processes every EOB from receipt to payment posting

1

Upload or Auto-Capture EOBs

Upload via fax, scan, email, PDF, or auto-capture from payer portals.

2

AI Reads & Extracts Data

AI EOB extraction identifies all financial fields, codes, and service lines with healthcare-trained precision.

3

Automated EOB Processing

Payments, adjustments, and patient responsibility are posted immediately.

4

AI Payment Matching

AI reconciles payments with claims, encounters, CPT lines, and ledgers.

5

Review Exceptions Only

Staff receive AI-flagged items that need human validation.

6

Final Posting & Sync

EOB reconciliation automation updates your EHR/RCM system in real-time.

Frequently Asked Questions

Everything you need to know about AI EOB extraction for healthcare

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