Billing cost keeps scaling with headcount
Traditional outsourced billing depends on people working queues manually. As volume grows, cost and delay grow with it.
QuickRCM Managed RCM
End-to-end RCM powered by AI agents and human-in-the-loop review.
Get a full-service revenue cycle operation at 2.9% of collections. QuickIntell combines specialized AI agents, payer workflow automation, and experienced RCM specialists to reduce manual billing work and move revenue faster.
2.9% pricing applies to eligible practices and agreed managed RCM scope. Final eligibility depends on specialty, payer mix, claim volume, system access, and historical denial profile.
2.9%
of collections for eligible practices
Up to 80%
routine RCM work automated
3,500+
payer workflows and routes
Human review
for exceptions and risky actions
The RCM Problem
Traditional RCM is too manual, too opaque, and too expensive.
Most billing teams are buried in eligibility checks, payer portals, claim edits, denials, underpayments, patient balances, and AR follow-up. Outsourced billing firms often add headcount without adding real automation.
Payer work is scattered across portals
Eligibility, authorization, claim status, denials, payment posting, and AR follow-up live in disconnected payer tools.
Leaders cannot see the true queue
Spreadsheets and status notes hide what is automated, what is stuck, what needs review, and what is at risk.
AI Agent Workforce
One managed RCM team, backed by specialized AI agents.
QuickRCM Managed RCM breaks the revenue cycle into clear agent-owned workflows. Routine, validated work moves through automation. Exceptions move to people with context.
Eligibility Agent
Verifies active coverage, COB, deductibles, PCP requirements, plan limits, and front-desk exceptions before the visit.
Prior Auth Agent
Detects authorization requirements, prepares clinical packets, checks status, and escalates payer issues for review.
Coding Review Agent
Checks documentation, ICD-10, CPT, HCPCS, modifiers, bundling, medical necessity, and payer edits before claim release.
Claims Agent
Scrubs claims, finds missing data, monitors claim status, prepares corrected claims, and routes stalled work.
Payment Agent
Connects ERA and EOB context, prepares posting queues, flags adjustment mismatches, and detects underpayments.
Denials Agent
Classifies CARC and RARC reasons, drafts appeal packets, tracks overturns, and feeds root causes upstream.
A/R Agent
Prioritizes old, high-value, timely-filing-risk, and recovery-likely accounts so the right claims get worked first.
Patient Balance Agent
Supports patient statements, payment questions, payment-plan exceptions, soft collections, and balance handoff.
Human-in-the-loop
Automation where it is safe. Humans where judgment matters.
QuickRCM does not blindly submit every action. Routine, validated work can be automated. Complex coding questions, ambiguous payer responses, high-dollar write-offs, appeals, and compliance-sensitive actions route to trained human reviewers.
Control model
Start in observe or assist mode, approve the work, then graduate specific payer workflows to auto mode once accuracy and review thresholds are validated.
Complex coding questions and documentation ambiguity
Medical necessity denials, appeals, and payer disputes
High-dollar write-offs, unusual adjustments, and refunds
Payer portal failures, missing records, and edge-case policy interpretation
Compliance-sensitive actions that require staff approval or signature
Customer-specific rules for specialties, locations, providers, and payers
Full-service pricing
Managed RCM at 2.9% of collections.
Replace bloated billing costs with an automation-first model: AI agents complete routine payer and claims work, while human RCM specialists handle the judgment-heavy work that still needs people.
Review eligibility for 2.9%Eligibility and benefit verification
Prior authorization coordination
Charge and coding review support
Claim scrubbing and submission support
Claim status follow-up
Denial management and appeal preparation
ERA, EOB, and payment posting support
Underpayment and adjustment review
Accounts receivable prioritization
Patient balance and soft collections support
Provider and payer performance scorecards
Monthly optimization and reporting
Why This Model
Not just software. Not just outsourcing.
QuickRCM Managed RCM is the operating model between software-only RCM and people-heavy outsourced billing.
Dimension
Traditional billing company
RCM software
QuickRCM Managed RCM
Operating model
People-heavy outsourced queues
Tools your team still has to operate
AI agents do routine work, RCM specialists manage exceptions
Pricing
Often 4%-8% of collections
Subscription plus internal staffing
2.9% of collections for eligible managed RCM scope
Automation
Limited and inconsistent
Workflow dependent on staff adoption
Designed to automate up to 80% of routine RCM tasks
Visibility
Periodic reports and emailed status updates
Dashboards without accountability for completion
Queue-level visibility across AI actions and human review
Implementation
A managed launch path, not a rip-and-replace project.
QuickIntell connects around your existing EHR, practice management system, clearinghouse, and payer workflows, then phases automation into production with review controls.
Step 1
RCM assessment
Review payer mix, EHR/PMS, clearinghouse, denial profile, AR, posting, staffing model, and current billing cost.
Step 2
Integration and shadow mode
Connect scheduling, demographics, coverage, claims, remits, and historical outcomes so agents can compare against current operations.
Step 3
Automation rules
Define which actions can run automatically and which route to human approval by payer, specialty, dollar value, and risk.
Step 4
Managed go-live
Launch eligibility, claims, denials, posting, AR, and patient-balance queues with QuickIntell RCM oversight.
Step 5
Optimization
Tune payer rules, denial prevention, scorecards, recovery workflows, and automation thresholds as production data improves.
Main product fit
QuickRCM Managed RCM is one of QuickIntell's main revenue products.
Use it when you want QuickIntell to operate the revenue cycle. Use the QuickRCM Platform when you want your own staff or billing vendor to run the software layer.
FAQs
Managed RCM questions buyers ask first.
What does 2.9% include?
For eligible practices, QuickRCM Managed RCM is priced at 2.9% of collections for the agreed managed RCM scope. That scope can include eligibility, prior authorization coordination, claim readiness, claim follow-up, denials, payment posting support, AR, patient balances, reporting, and human exception review. Final eligibility depends on specialty, payer mix, volume, system access, and current revenue cycle complexity.
What does up to 80% automated mean?
It means QuickIntell is designed to automate up to 80% of routine RCM work after workflows, payer rules, integrations, and approval thresholds are validated. The percentage varies by specialty, payer behavior, documentation quality, portal access, and how much automation the practice chooses to approve.
Who reviews exceptions?
QuickIntell routes ambiguous, high-risk, compliance-sensitive, or payer-specific exceptions to human RCM specialists. The customer can also keep internal billers, coders, or managers in the approval path for defined queues.
Do we have to replace our EHR or clearinghouse?
No. QuickRCM Managed RCM is built to work with the EHR, practice management system, clearinghouse, payer portals, and file workflows already in place. If a direct API is unavailable, implementation can use secure files, EDI, or assisted workflow automation where appropriate.
Can we keep our current billers?
Yes. Some practices use QuickIntell as a full managed RCM service. Others use it as a hybrid model where internal billers work exception queues while QuickIntell automates routine payer and claims work.
How is this different from the QuickRCM Platform?
The QuickRCM Platform is the AI revenue cycle software layer. QuickRCM Managed RCM is the service model where QuickIntell operates the revenue cycle for eligible practices using that platform, AI agents, and human-in-the-loop RCM specialists. Platform pricing and managed-service pricing are separate offers.
How does this compare with eClinicalWorks RCM, R1, Optum, Waystar, or a local billing company?
Most legacy options are either software that your team must operate or outsourced services where manual labor scales with volume. QuickRCM Managed RCM combines managed-service accountability with automation-first execution, so routine payer work is handled by AI agents while specialists focus on exceptions, appeals, and optimization.
How fast can we launch?
Most implementations start with discovery, integration, shadow-mode validation, and a phased go-live by workflow, payer, or location. Exact timing depends on system access, data quality, payer mix, volume, and how much of the revenue cycle is included in the first scope.
How are AI actions audited?
AI and human actions are logged with workflow context, owner, source data, status, and review path. High-risk actions can be configured to require approval before submission, posting, appeal, write-off, or EHR/PMS write-back.
See whether your practice qualifies for 2.9% managed RCM.
Bring your payer mix, current billing cost, denial profile, and approximate monthly collections. We will show where AI agents can automate the work and where human specialists stay in the loop.
HIPAA-aligned workflowsSOC 2 controlsBAA availablePayer call automation