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Coverage, charge, coding, claim, payment, and denial exceptions that deserve a closer look.
SAMG AI workflow
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
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.
Coverage, charge, coding, claim, payment, and denial exceptions that deserve a closer look.
Organise A/R queues using agreed signals such as age, balance, payer response, filing risk, and denial category.
Bring the agreed work path, standard notes, and payer-specific playbook to the assigned team member.
Connect inventory, production, QA, collection movement, and denial trends in a live operating view.
The live operating view
Give leadership a connected view of operational performance, not a collection of disconnected reports.
RPA & AI automation
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.
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.
AI that reads, summarises, and classifies payer correspondence and account notes, so staff spend their time on decisions instead of searching.
Agent-based automation that combines AI judgement with RPA execution to handle multi-step workflows, with human review at defined checkpoints.
Process assessment, design, build, testing, rollout, and support, delivered by SAMG's technology team alongside the RCM operation it serves.
Human-led by design
SAMG tailors rules, queues, quality checkpoints, and escalation paths to specialty needs, payer requirements, service mix, and volume.
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