Built for Reality, Ready for Scale
Revenue Cycle
AI-Based Cold E-Mail Outreach System
The Challenge A B2B partner sought to implement scalable cold email outreach programs for their clients across multiple industries. Each client targeted distinct market segments, required unique messaging, and relied on tailored...
ActiveXCHANGE Information Gateway
The Challenge Our clients and B2B partners receive high volumes of inbound information in mixed formats—structured transactions from interfaces and clearinghouses, alongside unstructured content such as email, fax, scanned documents,...
Interactive Transparency Dashboards
Client Transparency & Collaboration Portal The Challenge One of our B2B partners wanted to give their clients near real-time visibility into the work being performed on their behalf—down to the...
Single Pane Viewer
Single Pane of Glass for Long-Term Care Operations The Challenge A long-term care facility had established strong internal best practices, but daily execution was slowed by a technology stack with limited interoperability....
Admit Notifications
Automating Admit Notifications to Protect Inpatient Revenue The Challenge A B2B partner engaged us to help automate inpatient admit notifications for one of their healthcare clients. The client was facing increasing payer...
AccessExpert
Configurable Data Validation in a Single Interface The Challenge A B2B healthcare technology partner sought to validate a strategic thesis: Could a single, configurable intake interface trigger an automated sequence of validation services—without being tied...
ActiveREG
Registration That Gets It Right the First Time The Challenge Technical denials were rising due to incomplete data and missing documentation during preregistration and across multiple registration areas. When gaps weren’t caught...
Self-Pay Collections
Building a Self-Pay Collections Platform Optimized for Healthcare The Challenge A long-standing B2B partner was launching a new Self-Pay Collections Division to complement their existing RCM line of business. They...
Complex Claims
Automating Complex Claims (MVA, Worker’s Comp, Disability) The Challenge A B2B partner needed a modern platform to manage complex claims—including Motor Vehicle Accidents (MVA), Worker’s Compensation (WC), and Disability. Their workflow relied...
Zero Balance Auditing
Zero-Balance Recovery Automation with ActiveWARE The Challenge A B2B partner needed a unified platform to modernize and scale their Zero-Balance Audit and Recovery operations. Their existing workflow depended heavily on spreadsheets...
Patient Eligibility and Enrollment
Unifying Eligibility Operations on ActiveWARE One Platform for Eligibility, Coverage Discovery & Out-of-State Medicaid A B2B partner replaced spreadsheets and siloed tools with ActiveWARE—standardizing screening, automating document workflows, and streamlining end-of-month operations with...
EOB Indexing Solution
The ChallengeThe client was struggling to efficiently import and process inbound batch EOB (Explanation of Benefits) files in EDI and XML formats. Their existing workflow made it difficult to:Extract and...
Long Term Care Referral Automation
The ProblemA large long-term care and rehabilitation facility was struggling to manage new patient referrals efficiently. Referrals arrived through a secure health portal shared with regional hospitals. Once notified, staff...
MBI Lookup
The ChallengeManual Medicare Beneficiary Identification (MBI) lookups were consuming significant staff time and delaying patient access operations. To obtain MBI numbers, staff had to log into regional Medicare Administrative Contractor...
Gamification
The ChallengeOur B2B partner wanted to motivate, recognize, and retain high-performing employees while strengthening collaboration and learning across teams. Their goals were to:Reward staff in real time for achieving goals...
Centralized Scheduling
The Challenge A large health system in the Southwest was struggling with a disjointed and inefficient scheduling process spread across multiple campuses and departments. Each site managed its own workflow,...
Pre-Arrival Financial Clearance
The Challenge A multi-facility hospital system was struggling to efficiently financially clear patients prior to their date of service. Their pre-arrival workflows were fragmented across multiple systems, leading to: The...
Presurgical Clinical Clearance
The Challenge A client faced persistent challenges in their presurgical process, leading to a troubling number of last-minute cancellations and rescheduled surgeries. Each cancellation cost the organization an estimated $7,500...
A/R Follow-Up
The ChallengeA health system using Facilitator™ for patient eligibility wanted to add another service line and manage all service lines on a single platform. Their key goals were:Let team members...
Conversion Projects
The ChallengeA hospital system planned a balance-forward conversion to a new EMR and to send legacy A/R to a follow-up vendor so staff could focus on go-live and avoid toggling...
Insurance Discovery and Verification
The ChallengeA multi-site health system centralized insurance discovery and verification in its CBO, but lacked a workflow engine to manage the volume across locations. Teams needed a way to:Process verification...
Out-of-State Medicaid
The ChallengeA long-time B2B client wanted to expand their business by adding an Out-of-State Medicaid (OSM) service line. Their vision:Consolidate all eligibility programs—primary, secondary, and OSM—into a single platformReplace an...
Print Capture
The ProblemThe organization's staff needed to generate and assemble complex documentation packets for patient transfers, payer requests, and referral coordination. Unfortunately, their workflow relied on manual printing and physical assembly...
Financial Assistance
The Challenge A large health system managed pre-arrival financial clearance in its Central Business Office (CBO) but struggled with the financial assistance phase. The Solution We implemented Facilitator™ to orchestrate...
Electronic Forms Automation
The ProblemHospital frontline teams were manually assembling registration packets, hunting for the right consent form, printing labels, re-keying demographic and insurance data, and trying to remember payer- and service-line-specific requirements...
Credentialing / Enrollment
The ChallengeBefore automation, the organization's credentialing team managed hundreds of providers using spreadsheets, email threads, and manual packet prep. This fragmented approach caused:Inconsistent onboarding and delayed payer enrollmentMissed renewal and...
BYOD E-Signature
The ChallengeA large health system in Canada needed to introduce electronic signatures at the point of registration. However, their registration process spanned hundreds of decentralized locations, making a traditional hardware...
Adverse Action Monitoring
The ProblemClient did not have a proactive means of alerting credentialing staff when adverse actions, sanctions, or negative reports which might affect the organizations reputation appear. Their existing credentialing solution...
Interactive Clinical Forms
The ProblemA major health system in Canada wanted to implement interactive electronic forms as an integral part of a new Electronic Medical Record (EMR) system scheduled for deployment the following...
Lab Requisition Solution
The ChallengeA leading healthcare organization was struggling to manage incoming patient requisitions from multiple locations. Each facility operated independently, resulting in inconsistent document handling, slow turnaround times, and no single...
Patient Statements
The ChallengePatients were receiving poorly designed billing statements that created confusion rather than clarity. Key issues included:Unclear balance information and due datesNo call to action, leaving patients unsure of next...
Electronic Form Transformation
The Challenge When a health system transitioned to a new EMR platform, clinicians quickly discovered that a key piece of their workflow had been lost: their familiar library of clinician-friendly...
Automated Patient Engagement
The Challenge Several health systems needed to insource their patient engagement workflows for key operational and clinical use cases, including: Their existing EMR platforms lacked the ability to design and...
Early Out and Payment Plans
The Challenge A B2B partner specializing in Early Out Services faced growing demand from its clients — but their internal processes were largely manual, time-consuming, and costly to scale. Key...
Patient Encounter Accuracy
ChallengeA multi-hospital health system struggled with manual registration audits that only reviewed a fraction of patient encounters. Errors in demographic and insurance data were slipping through, leading to denials, underpayments,...
Output Management
On-Demand Patient Packet Generation and Fulfillment From Vendor Delays to Instant Control — Automating Patient Packet Assembly and Delivery A large health system replaced rigid EMR-controlled packet logic with an...