๐Ÿ”” Rolling out AI-powered Revenue Cycle Management with clinic partners โ€” get in touch
Revenue Cycle Management

Speed up billing, cut denials, and catch what gets missed.

Zorvaine's RCM engine reads a clinic's doctor's notes for a visit, compares them against what was actually billed, and flags missed charges or unsupported billing for your team to review โ€” built for clinics and urgent care.

The problem

Slow billing cycles and claim denials both start the same way โ€” a gap nobody caught.

A missed charge is revenue that never gets captured. Unsupported billing is a denial risk waiting to happen โ€” and denials are exactly what slow the whole revenue cycle down. Busy billing teams review encounters by hand, one at a time, with no second set of eyes checking the note against the claim.

Zorvaine acts as that second set of eyes โ€” reading the note, reading the bill, and surfacing exactly where they don't line up.

Sample review queue
Rapid strep test administeredโœ“ Confirmed
Level 3 E/M billedโœ“ Confirmed
Amoxicillin prescribed, not billedโš‘ Missed charge
Wound care supplies billed, no note referenceโš‘ Unsupported

Illustrative example, not real patient data.

How it works

One visit at a time โ€” note in, decision out.

STEP 01

Ingest the visit

The doctor's note and the billed line items for that encounter โ€” scoped to the current visit, not historical records.

STEP 02

Compare & flag

The model matches what was documented against what was billed, flagging missed charges and unsupported items.

STEP 03

Coder review

Every flag lands in a review queue for your billing team to approve or reject โ€” nothing is auto-billed.

Proof of concept

Real numbers from real testing โ€” not projections.

94.0%
Precision on missed-billing detection
90.1%
Recall on missed-billing detection
100%
Flags reviewed by a human before action
5
Products across the platform

Measured on synthetic (Synthea) clinical data against a held-out test set the model never saw. No real patient data has been used yet.

  • Faster procurement than hospital systems โ€” no 12โ€“18 month security review cycle
  • A Business Associate Agreement (BAA) with your clinic covers billing data under HIPAA โ€” no per-patient consent required
  • Built FHIR-standard, not locked to one EHR vendor โ€” works alongside athenahealth, Experity, eClinicalWorks, and others
Who it's built for

Built for small clinics and urgent care.

Most computer-assisted coding tools on the market today are built for hospitals and large health systems, leaving smaller practices underserved. Zorvaine starts there: faster to onboard, easier to trust, and sized right for a single-location or small multi-location practice โ€” with the same engine ready to scale as we grow.

Primary care is a strong candidate for future expansion โ€” it's on our roadmap once the current-visit-only foundation is proven in urgent care.

Trust & scope

Assistive, not autonomous.

Every flag Zorvaine surfaces goes to a human coder or biller for review before anything is submitted or changed. This is a deliberate scope decision, not a limitation we plan to remove โ€” billing decisions carry real compliance and fraud liability, and that responsibility stays with your team.

We scope every data request to the current visit's note and current visit's billing only โ€” never full historical archives โ€” both to control cost and because that's where the core detection signal lives.
Request a demo

See it catch a real gap.

If missed charges or claim denials are a recurring headache for your billing team, fill out the form and we'll walk you through it.

Prefer email? Reach us directly at info@zorvaine.com.

Prefer to call? Reach us at +1 (469) 536-0817.