M Marty
D Devon
A Ana
P Priya
S Sam
Oli away MartyQuick one before we wrap. Are we sending OR claims out without anesthesia on them? Feels like we're leaving money there.
The Agentic AI Platform for RCM
Put agents to work across your revenue cycle.
We make it dead simple to deploy agents, systems, and automations without downtime even in complex data environments. More revenue collected at a fraction of the cost
Learn How Oli away › joining claims to charge lines
› filter: place of service OR, no anesthesia CPT
scanning 2.1M claims
✓143 claims · deployed to iolite
M Marty
D Devon
A Ana
P Priya
S Sam
Oli OliPulled it up while we were talking. Found 143 OR claims missing anesthesia. Already routing them to the submission team.
M Marty
D Devon
A Ana
P Priya
S Sam
Oli away AnaHeads up, that payer changed their 837 layout on us. Plan info moved into the subscriber loop. Can we follow it before the next batch?
› inspecting loop 2010BA, 2000B
› plan id now sits at REF*IL on the subscriber
validating · 50 recent payers
✓1,204 claims · next batch maps clean
M Marty
D Devon
A Ana
P Priya
S Sam
Oli OliPatched it on the call. Remapped the plan id, validated against 50 recent payers. Next batch, 1,204 claims map clean. No more rejects from them.
M Marty
D Devon
A Ana
P Priya
S Sam
Oli away MartyWe just loaded every payer contract. Any chance we get all the carve-outs into iolite so the team can actually see them?
› chunking 38 payer contracts
› normalizing terms across payers
writing results to iolite
✓212 carve-outs · extracted to iolite
M Marty
D Devon
A Ana
P Priya
S Sam
Oli OliDone before we hung up. Ran all 38 contracts through an LLM and pulled 212 carve-outs into iolite. They are searchable now.
2M+
Claims processed
Live in weeks
Not months
Pay for what you use
No seat licenses
7-day out
Cancel anytime, no questions
The Challenge
RCM operators want to deploy AI but can't move fast enough.
85% of healthcare leaders are increasing AI investment. Early movers are seeing 30–60% reductions in cost to collect. But operationalizing agentic AI across a client base hits three walls:
01
No shared data model
PM systems, clearinghouses, payer portals, and eligibility engines all hold critical data but none share a common model.
02
Stuck between pilot and scale
Piloting AI on one workflow is manageable. Deploying it reliably across an entire operation, with auditability, error handling, and client-specific rules, is a different problem entirely.
03
Change management
Teams have established workflows. Introducing AI changes how work gets done. Getting staff to trust, adopt, and actually use it is its own project, separate from the technology itself.
The Platform
One platform across your clients, deploy agents against all of them.
Iolite gives RCM operators a shared data layer, pre-built agents, and integrations into the systems their teams already use. That means new agents and new clients can be configured instead of built from scratch.
01 · The shared data layer
Nebula
Nebula normalizes claims, patients, providers, payers, remits, and workflow data across clients and systems. Every agent works from the same operating model, so onboarding a new client is configuration, not a new engineering project.
02 · Pre-built RCM automation
Agentic Workflows
Iolite ships with agents for high-value RCM workflows: denials, underpayments, claims detection, authorizations, payment posting, and A/R follow-up. Each agent is configured to your payer mix, client rules, and escalation process.
03 · Read, act, and write back
Integrations
Iolite connects to your PM systems, clearinghouses, EHRs, and payer portals. Agents do not just flag issues; they push results back into the systems your team already uses.
Live in weeks
Pre-built agents and connectors reduce implementation time.
Model-agnostic
Use the right model for each task without locking into one provider.
Code + AI hybrid
Rules where precision matters; models where reasoning helps.
Cost visibility
Track agent cost by workflow, client, and volume.
The Product
Point agents at a problem, and watch them build the system.
“Find every claim a revenue code carve-out is costing you.”
The agents stand up the systems behind this answer, and the app fills in as each one ships: contract-parser, contract-extraction, then revcode-carveouts.
app.iolite.health/contracts
Contracts /
revenue code carve-out
SearchDocuments—
Revenue Code Carve-out Impact
Claims billing a carved-out revenue code, with the dollars exposed to the per-diem.
AccountPayerContract fileRevClaim $
building…
quasar.iolite.health/systems/contract-parser
“Find denials we should prioritize.”
The agents stand up the systems behind this answer, and the app fills in as each one ships: denial-opportunity-system, denial-scoring-priority, then denial-team-routing.
app.iolite.health/denials
Open denials
Every open denial worth chasing, biggest claim first.
score =recoverable $×appeal win-rate×urgency · days left
AccountPayerDenialRecoverableScorePrioTeam
8841% win · 21dP1→ Appeals · Complex
9062% win · 9dP1→ Auth Appeals
9688% win · 4dP1→ Fast-track Appeals
6455% win · 3dP2→ Clinical Appeals
3830% win · 2dP3→ Timely-Filing Desk
finding denials worth chasing…
quasar.iolite.health/systems/denial-opportunity-system
“Find every claim the payer underpaid against contract.”
The agents stand up the systems behind this answer, and the app fills in as each one ships: contract-remit-audits, underpayment-scan-system, then underpayment-priority-system.
app.iolite.health/claims/underpayments
Remit re-pricing
Claims the payer paid below the contracted rate, ranked by recoverable variance.
AccountPayerPaidExpectedVariance
building…
quasar.iolite.health/systems/contract-remit-audits
The Agentic Loop
From issue detection to resolution.
Iolite agents follow a simple operating loop: find the issue, size the opportunity, take the next step, and route exceptions to the right person. Rules handle what is predictable. AI handles what requires context.
Detect
Spot problems early
Monitor claims, remits, eligibility, and payer activity for denials, underpayments, missed charges, credentialing gaps, and other revenue leakage.
Score
Quantify the opportunity
Prioritize each issue by financial impact, urgency, and likelihood of recovery so teams work the highest-value items first.
Act
From insight to resolution
Draft appeals, correct claim data, prepare resubmissions, flag coding opportunities, and trigger follow-up workflows.
Route
Get it to the right person
Escalate exceptions with the issue, evidence, and recommended next step, so specialists can act quickly without starting from scratch.
Workflows
Pre-built agents. Configured for your operation.
Start with workflows that already exist, then configure them to your payer mix, client rules, and escalation process. As Iolite learns which strategies work across payers and denial types, those improvements become available across the platform.
Workflow What it watches for
Underpayment Detection LIVE Compares payments against contracts and fee schedules to surface recoverable short-pays.
Lesser of Claim-Level LIVE Comparison of insurance accounts paid at 100% of billed charges for review against contracts for caps.
Lesser of Line-Level LIVE Review of line items paid in remits paid at exactly 100% of charges against contract.
100% Contractual Adjustment LIVE CAS Code 45 applied to entire bills.
Multiple Procedure Reduction LIVE Capture of claims with multiple procedure reductions (CAS 59) against contract terms.
High Cost Drug Audit LIVE Claims with high dollar amounts (>$2000) in revenue code 250 against contracts with rev code 636 carve-out.
Implant Audit LIVE Claims with high dollar amounts (>$5000) in revenue code 270-272 against contracts with rev code 278 carve-out.
Invalid Timely Filing LIVE Capture of timely filing terms in contracts + CAS code denials for discrepancies.
Coordination of Benefits LIVE Contracts terms for payment up to secondary allowables against primary payments.
Workflow What it watches for
Denial Management LIVE Identifies root causes, drafts appeals, tracks outcomes, and supports resubmission.
Second-Pass Denials LIVE Denial CAS code (from hierarchy listing) present in remit data without subsequent payor payment (with or without denial adjustment code).
Silent DRG Downgrades LIVE Review of billed DRG reimbursement against paid amount.
E&M Downcodes - Hospital LIVE Review of billed E&M level reimbursement against actual reimbursement.
E&M Downcodes - Physician LIVE Review of billed E&M level reimbursement against actual reimbursement.
Reimbursement Modifier Review LIVE Isolation of all modifiers that reduce reimbursement for necessity for possible removal.
Workflow What it watches for
Claims Detection LIVE Finds denials, underpayments, missed charges, and coding opportunities across claims and remit data.
Missed IME Bill LIVE Missed transmission of suspected Medicare IP accounts shadow bills for IME payment (Medicare HMO reg errors/untransmitted).
Transfer DRG LIVE CMS Transfer DRG rules identifying accounts paid at transfer for CWF scrub of transfer billing/clinical review.
Rev Code 360 without 370 LIVE OR charges billed without anesthesia.
HCD Waste Billing LIVE Review of -JW modifiers being billed without capturing NDC and primary utilization, failure to bill -JW modifier on 636 rev code where waste billing reimbursable.
OON Short-Pay LIVE Review of OON financial classes for pricing against Medicare/Medicaid/100% charges/price transparency data.
Secondary Billing LIVE Review of claims with patient balances and secondary insurance loaded but no secondary claim dropped.
High $ Balance in Self-Pay w/ Insurance Loaded LIVE Coordination of benefits denials (CAS 22,120,19,20,21,B23) where the correct payor info hasn't been loaded to bill primary.
Workflow What it watches for
Prior Authorization BUILDING Tracks auth status, submissions, expirations, and auth-related denial risk.
Payment Posting BUILDING Reconciles ERAs/EOBs and flags exceptions, mismatches, and adjustments.
A/R Follow-up BUILDING Prioritizes aged receivables by value and likelihood of collection, then routes or automates next steps.
"We recover revenue that most people assume is gone. Iolite helps us find it faster and focus on the opportunities that are actually worth pursuing."
Zack Higbie /
Why Iolite
Built for RCM operators.
01
Multi-client by design
Iolite is built for billing companies, MSOs, and RCM services firms managing work across many clients, systems, payers, and teams. Multi-client complexity is the starting point, not an edge case.
02
A platform, not a custom build
Services firms scope and build one-off solutions. Iolite ships pre-built workflows on shared infrastructure, so new agents and new clients can be configured faster.
03
Works with your source systems
Iolite does not ask you to replace your billing platform. Agents read from your systems, perform the workflow, and write results back where your team already works.
04
Multiplies your team
Iolite automates repetitive work, surfaces the issues worth pursuing, and routes exceptions to the people best equipped to resolve them.
05
Learns across workflows
As the platform sees more payer behavior, denial patterns, and recovery strategies, Iolite improves the logic available to every customer without sharing client data.
Security
View security practices →
Built for the data you handle.
RCM companies handle sensitive healthcare and financial data every day. Iolite is built with encryption, access controls, audit logs, and client-level data isolation from the start.
HIPAA-ready infrastructure
Designed for healthcare data and the operational requirements that come with it.
Encrypted and access-controlled
Data is encrypted in transit and at rest, with role-based access, audit logs, and client-level isolation.
Tested regularly
Security reviews, third-party assessments, and penetration testing help validate controls before they become risks.
Put AI to work across your RCM operation.
See how Iolite helps billing companies and MSOs automate high-value workflows and go live in weeks.