Healthcare RCM services, AI & RPA solutionsIndia delivery centre · global support

SAMG AI workflow

AI makes the signal clear.
People move the account.

SAMG applies AI-assisted validation, classification, routing, and prioritisation, together with RPA automation, inside a workflow that remains accountable, reviewable, and human-led.

How it works

From activity data
to better next actions.

AI is not a black box beside the RCM process. It is an operational layer that helps the team understand what should be worked next, why it matters, and how outcomes are moving.

01

Detect

Coverage, charge, coding, claim, payment, and denial exceptions that deserve a closer look.

02

Prioritise

Organise A/R queues using agreed signals such as age, balance, payer response, filing risk, and denial category.

03

Guide

Bring the agreed work path, standard notes, and payer-specific playbook to the assigned team member.

04

Measure

Connect inventory, production, QA, collection movement, and denial trends in a live operating view.

The live operating view

A/R strategy with
clear KPI visibility.

Give leadership a connected view of operational performance, not a collection of disconnected reports.

InventoryA/R aging, balances, queue volume, and filing exposure
ProductionTouches, completions, workload movement, and ownership
QualityQA activity, rework patterns, and repeat exceptions
RevenueCollection direction, denial movement, and recovery opportunity

RPA & AI automation

Automation built by people
who run the process.

SAMG's technology division brings AI and RPA delivery experience together with a working RCM operation, so automation is designed around real queues, payer rules, and quality checkpoints.

01

Robotic process automation

Software bots that take over repetitive, rules-based RCM tasks such as eligibility checks, claim-status lookups, and data entry, built on platforms such as UiPath and Microsoft Power Automate.

02

Generative AI assistants

AI that reads, summarises, and classifies payer correspondence and account notes, so staff spend their time on decisions instead of searching.

03

Agentic RPA

Agent-based automation that combines AI judgement with RPA execution to handle multi-step workflows, with human review at defined checkpoints.

04

Implementation and support

Process assessment, design, build, testing, rollout, and support, delivered by SAMG's technology team alongside the RCM operation it serves.

Human-led by design

AI identifies the signal.
Your team owns the outcome.

SAMG tailors rules, queues, quality checkpoints, and escalation paths to specialty needs, payer requirements, service mix, and volume.

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