Prioritize Care.
Automate the Revenue.
Eliminate prior authorization bottlenecks and claim denials. Ventus AI automates your medical revenue cycle—from eligibility to payment posting—so you can focus on patient outcomes.
Is Administrative Burden Costing You?
Manual workflows are the silent killer of practice profitability. Are these challenges familiar?
Prior Authorization Delays
Waiting days or weeks for approval delays patient care and frustrates providers. Your staff spends hours on hold with payers instead of supporting patients.
Per physician on PA admin tasks.
Coding Errors & Denials
Simple coding mistakes or missing attachments lead to preventable denials. Reworking these claims costs 3x more than getting it right the first time.
Thousands lost monthly to unappealed denials.
Medical Practice Automation
Automate eligibility verification, prior authorizations, scheduling, and records retrieval across EHRs and payer portals.
Eligibility Verification
Verify insurance coverage, check eligibility, and confirm patient benefits.
Step 1: Eligibility Verification
New Patient Referral
Cardiology Consultation
Referred to Dr. Tinker Bell, MD
Insurance
United Healthcare PPO
Patient Demographics
Patient Name
Peter Pan
Date of Birth
01/01/1904
Referral Reason
Chest pain evaluation, stress test recommended. History of hypertension.
EHR Portal Access
Connected System
Epic MyChart Portal
✓ Verified
Insurance Verification Complete
Coverage Status
Active - In Network
Copay
$40.00
Deductible Met
Yes
Prior Authorization
Submit prior auth requests to payers, track approvals, and manage authorizations.
Step 2: Prior Authorization
Procedure Requiring Auth
Stress Echocardiogram
CPT 93351 | ICD-10 R07.9
Action Required
Submit Prior Auth to United Healthcare
Prior Auth Request Details
Ordering Physician
Dr. Wendy Darling, MD
Internal Medicine
Rendering Provider
Dr. Tinker Bell, MD
Cardiology
Clinical Justification
Adult male presenting with exertional chest pain x 3 weeks. HTN controlled on lisinopril 10mg daily. EKG shows nonspecific ST-T wave changes. Recommend stress echocardiogram to evaluate for ischemia.
Submit Prior Auth Request
Urgency Level
Processing Prior Auth
Submitting to Payer
United Healthcare Portal
Prior Auth Approved
Approved
Authorization valid for 90 days
Authorization Number
Appointment Scheduling
Find available slots, book appointments, and send patient notifications.
Step 3: Appointment Scheduling
Appointment Type
Stress Echo Test
Duration: 60 minutes
Location
Cardiology Suite - Building A
Available Time Slots
Mon, Dec 9
9:00 AM
Tue, Dec 10
2:30 PM
Wed, Dec 11
10:15 AM
Appointment Confirmed
Confirmed!
Stress Echo with Dr. Bell
Date
Tuesday, Dec 10, 2024
Time
2:30 PM EST
Notifications Sent
SMS Confirmation
Sent to (000) 111-2222
Email Confirmation
Sent to peter.pan@neverland.com
Pre-Visit Instructions
Fasting 12 hours, no caffeine
Records Retrieval
Aggregate medical records from multiple systems into unified patient view.
Step 4: Records Retrieval
Request Type
Complete Medical History
Prior authorizations, labs, imaging
Sources
3 Healthcare Systems
Records Request Initiated
Requesting Records For
Peter Pan
DOB: 01/01/1904 | MRN: NVRL-00001
Multi-Portal Access
Epic
✓ 12 records
Quest
✓ 8 results
RadNet
Retrieving...
Compiling Records
Organizing into unified patient record...
Records Compilation Complete
Complete
26 records compiled and organized
Patient Chart Updated
Peter Pan - MRN NVRL-00001
Step 1: Eligibility Verification
New Patient Referral
Cardiology Consultation
Referred to Dr. Tinker Bell, MD
Insurance
United Healthcare PPO
Patient Demographics
Patient Name
Peter Pan
Date of Birth
01/01/1904
Referral Reason
Chest pain evaluation, stress test recommended. History of hypertension.
EHR Portal Access
Connected System
Epic MyChart Portal
✓ Verified
Insurance Verification Complete
Coverage Status
Active - In Network
Copay
$40.00
Deductible Met
Yes
Complete Medical RCM Automation
End-to-end automation for specialized practices, from intake to zero-balance.
Eligibility & Benefits
Verify coverage in real-time. Detect plan specifics, deductibles, and co-pays automatically before the patient arrives.
Automated Prior Auth
Submit clinical documentation and track authorization status across hundreds of payer portals without human intervention.
Claim Scrubbing
Intelligent pre-submission audits ensure coding accuracy (ICD-10/CPT) and complete documentation, maximizing first-pass acceptance.
Denial Management
Automatically categorize denials and generate appeals with supporting clinical evidence. We fight for every dollar.
Payment Posting
Auto-match ERAs and payments to patient accounts with high precision, reconciling balances instantly.
Financial Analytics
Deep visibility into practice performance. Monitor AR aging, collection rates, and payer mix in real-time.
Core EngineThe Connected
Medical Ecosystem
We bridge the gap between your clinical systems and payer portals. Our agents navigate complex insurance requirements, from Medicare to Commercial PPOs, ensuring compliance and faster reimbursement.
Seamless EHR Integration
Updates flow directly into patient charts. No more copying and pasting auth numbers or eligibility data.
- HIPAA Compliant SecurityEnterprise-grade encryption for all PHI.
- Global Payer ReachConnecting to 2,000+ payers nationwide.
Metrics That Matter
Reclaim Your Time for Care.
Let us show you how automation can transform your practice's financial health.
HIPAA Compliant. 100% Confidential.