For billing teams

Your billing team, supercharged

AI copilots that handle claim review, denial recovery, and payer calls — so your team can focus on the work that actually needs their judgment.

Claims Review Queue — Today

2 reviewed · 1 needs attention

Claim #4897 · Aetna

Transitional Care Visit — 5 days post-discharge

Approved

Claim #4892 · UnitedHealthcare

E&M Level 4 + Same-day Procedure

Needs Review

Senvia flagged: Missing referring provider NPI. UHC requires referring NPI for all specialist visits. Claim will reject without it.
Review & approve →

The real problem

Your best billers are buried in busywork

60% of their day is low-value work

Checking claim statuses, re-keying data across systems, sitting on hold with payers. None of this requires their expertise.

High-value work piles up

Complex denials miss appeal deadlines. Coding edge cases get rushed. Revenue leaks go unnoticed because nobody has time to look.

Your team is stuck in reactive mode

Denial trends go unanalyzed. Process fixes get deferred. The strategic work that would actually move your numbers never makes it off the list.

What Senvia does

One copilot for the work
that eats your day

Every recommendation is visible, auditable, and adjustable. Your team stays in control. The AI handles the grunt work.

Claim Review Copilot

AI reviews every claim before submission. Catches coding errors, missing modifiers, and payer-specific rules your team would spend hours checking manually.

Review & approve

Denial Recovery Copilot

Categorizes denials by root cause, drafts appeals with supporting clinical documentation, and tracks deadlines. Appeals that took 45 minutes now take 5.

Draft to submit in minutes

Payer Agent

AI calls insurers, navigates IVR systems, checks claim status, and pulls prior auth decisions. Your team gets a transcript and outcome. No hold time. Ever.

Zero minutes on hold

The payer agent

Payer calls on autopilot

Your team makes dozens of payer calls daily — 25 to 45 minutes each. Senvia's AI agent handles the call, the hold, the IVR navigation, and brings back results. Your team's time goes to work that matters.

Average time your team spends per payer call today

~80%

Of routine calls handled end-to-end

Seamless handoff

Handed to your team when escalation is needed

Instant follow-through

Every call transcribed, results logged, and next steps queued automatically

Payer Agent — Claim #4892 · UnitedHealthcare

📞

Dialing

UnitedHealthcare Provider Services

0:00

✍

Navigating IVR

Press 1 for claims... Press 3 for status...

0:45

⏳

On hold

Waiting for representative... handled for you

12:30

✓

Speaking with representative

Providing claim details, verifying status

18:45

Result

Claim #4892 denied — missing modifier 25 on E&M code. Recommended action: resubmit with modifier 25 attached. Expected reimbursement: $247.00

Deep customization

It learns how your practice works

Every practice has billing rules that are uniquely theirs. Senvia doesn't force you into a generic model. You teach it your rules — in plain English — and it applies them every time.

Prior Authorization

Auth requirements by payer + procedure

Aetna: requires prior auth for all advanced imaging.

UHC: only spine and joint MRIs.

Blue Cross: auth not required for in-network providers.

Your team stops guessing. Senvia flags what needs auth before you submit.

Payer-Specific

Modifier requirements

Aetna: requires modifier 25 on all E&M codes billed same-day as procedures.

Blue Cross: does not.

Senvia knows the difference. No more manual lookups.

Specialty Logic

Bundled payment rules

For orthopedic bundled payments, exclude physical therapy visits within the global period unless separately billable.

Your edge cases become automated, not manual exceptions.

How it works

Live in days, not months

No 12-month implementation. Senvia delivers value in week 1.

Connect

Integrates with your existing EHR and billing systems. Your team keeps working the way they already do — Senvia layers on top.

Customize

Define your practice's rules, payer quirks, and exception logic. The copilot learns from your team's corrections and gets smarter over time.

Operate

AI handles the routine. Your team handles the exceptions. Every recommendation is visible, auditable, and adjustable.