Bringing intelligence to healthcare payments
Bringing intelligence to healthcare payments
Review every chart against live payer rules and contracts with medical-grade agentic AI: guarantee correctness, improve first-pass yield, and recover peace of mind.
Review every chart against live payer rules and contracts with medical-grade agentic AI: guarantee correctness, improve first-pass yield, and recover peace of mind.
Give every claim the attention it deserves
Give every claim the attention it deserves
Deploy expert, domain-specific AI chart review across every claim: automatically, consistently & at scale
Validate care pre-service
Commercial + LCD/NCD checks
Denial risk alerts
Targeted next steps
Backbone understands referrals, longitudinal chart history, and medical necessity to reliably ensure auth correctness & guarantees of reimbursement
Validate care pre-service
Commercial + LCD/NCD checks
Denial risk alerts
Targeted next steps
Backbone understands referrals, longitudinal chart history, and medical necessity to reliably ensure auth correctness & guarantees of reimbursement
Validate care pre-service
Commercial + LCD/NCD checks
Denial risk alerts
Targeted next steps
Backbone understands referrals, longitudinal chart history, and medical necessity to reliably ensure auth correctness & guarantees of reimbursement
Ensure correctness & compliance pre-bill
Plan-specific edits
Coding + modifier validation
Bundling / carve-out detection
Backbone reviews the full chart before claims drop, catching missed revenue and preventing avoidable denials: so you boost first-pass yield and reduce rework.
Ensure correctness & compliance pre-bill
Plan-specific edits
Coding + modifier validation
Bundling / carve-out detection
Backbone reviews the full chart before claims drop, catching missed revenue and preventing avoidable denials: so you boost first-pass yield and reduce rework.
Ensure correctness & compliance pre-bill
Plan-specific edits
Coding + modifier validation
Bundling / carve-out detection
Backbone reviews the full chart before claims drop, catching missed revenue and preventing avoidable denials: so you boost first-pass yield and reduce rework.
Enjoy peace of mind with claim guarantees
100% review rate
Anti-clawback guarantees
Paid-or-credit on coverage
Backbone only greenlights claims that meet medical-necessity and billing requirements for that payer. For those claims, we stand behind the result: no surprises after submission.
Enjoy peace of mind with claim guarantees
100% review rate
Anti-clawback guarantees
Paid-or-credit on coverage
Backbone only greenlights claims that meet medical-necessity and billing requirements for that payer. For those claims, we stand behind the result: no surprises after submission.
Enjoy peace of mind with claim guarantees
100% review rate
Anti-clawback guarantees
Paid-or-credit on coverage
Backbone only greenlights claims that meet medical-necessity and billing requirements for that payer. For those claims, we stand behind the result: no surprises after submission.
GET STARTED
Take back control of your A/R
Share your specialty, payer mix, and EMR: Backbone will start certifying auth + claim correctness within 30 days.
GET STARTED
Take back control of your A/R
Share your specialty, payer mix, and EMR: Backbone will start certifying auth + claim correctness within 30 days.
GET STARTED
Take back control of your A/R
Share your specialty, payer mix, and EMR: Backbone will start certifying auth + claim correctness within 30 days.