AdvanceClaim IQ™ · Agentic AI for EMS Revenue Cycle
The first AI that codes EMS claims — and shows its work.
AdvanceClaim IQ reads the full ePCR, codes the claim with a transparent rationale, and routes it to your biller for the final call. The EMS industry’s first patented, fully agentic AI revenue cycle platform — built for ambulance billing, not adapted from it.
Not a black box
Automation you can audit
Most AI hides its reasoning. AdvanceClaim IQ does the opposite. Every code it assigns comes with the narrative evidence and the rule behind it — so your billers verify a decision instead of rebuilding it. In an industry where every claim is auditable, transparency isn’t a nice-to-have. It’s the requirement.
- ePCR readNarrative, vitals & crew notes parsed
- CodedA0427 · ICD-10 · 12 loaded miles
- Awaiting your reviewOne sign-off from clean submission
How it works
Five steps. One reviewed, ready-to-bill claim.
AdvanceClaim IQ runs the whole coding workflow on its own — and stops for a human before anything goes out the door.
Step 1
Reads the ePCR
Ingests the complete patient care report — narrative, vitals, and crew notes — the way an experienced coder would.
Step 2
Codes the claim
Assigns level of service, ICD-10, mileage, and modifiers using EMS-specific billing logic.
Step 3
Shows its rationale
Attaches the evidence and the rule behind every code, in plain language.
The glass boxStep 4
Human review
Your biller confirms or adjusts — reviewing a decision, not building one from scratch.
Step 5
Submits
Sends a clean claim to your clearinghouse — no re-keying, no new enrollments.
After submission
The cycle doesn’t stop at a clean claim
Submitting is half the job. AdvanceClaim IQ runs the other half too — posting payments and working denials — so revenue lands without manual chasing.
Posts payment the moment the 835 lands
When an 835/ERA remittance file arrives, IQ matches it to the claim and posts the payment automatically. Any remaining patient responsibility — deductible, co-pay, or co-insurance — is billed automatically. No manual posting, no balances sitting in a queue.
Drafts the appeal the moment a claim is denied
When a payer denies a claim, IQ reads the denial reason and generates a ready-to-send appeal letter — citing the documentation and the rule that supports payment. Your biller reviews and sends. Denials get worked, not written off.
Why it’s different
Designed for a regulated industry
Transparent by design
An explainable rationale on every claim. Audit-ready from the first day, not bolted on later.
Human in the loop
Nothing leaves the building without a person’s sign-off. The AI does the work; you stay in control.
Built for EMS
Trained on ambulance billing and ePCR data — not a generic healthcare model pointed at EMS.
What “agentic” means here
It does the coder’s work — start to finish
Rules engines match patterns in form fields. AdvanceClaim IQ reads the story in the narrative, reasons about it, and produces a defensible claim — then hands it to your team ready to verify.
- Reads unstructured narrative, not just structured fields
- Applies base rate, mileage, and medical-necessity logic
- Flags missing documentation before it becomes a denial
- Works inside AdvanceClaim — no new system to learn
Frees your billers for what matters
Let the AI handle first-pass coding so your team works exceptions, denials, and appeals — the high-value work only people can do.
Industry first · Now in beta
Be among the first to bill with AI
The EMS industry’s first patented agentic RCM platform — years of EMS billing expertise, encoded and protected. AdvanceClaim IQ is rolling out to a limited group of agencies and billing companies. Request a demo to see it run on your own claims, and ask about joining the beta.
Exhibiting at the Pinnacle EMS Leadership Forum · San Diego · July 13–16, 2026