Riley
AI Staff MemberMedical Biller

Meet Riley.

Clean claims, first time, every time

Riley scrubs every claim before it goes out — checking coding accuracy, verifying patient eligibility, catching modifiers that trigger denials, and tracking every unpaid claim. Riley follows up on denials with corrected claims and flags underpayments against your fee schedule.

94%
First-Pass Rate
99.1%
Error Detection
$4,200/mo
Revenue Recovery
< 2 sec
Processing Speed
Riley has flagged 4 claims needing attention
Interactive Preview

See Riley in action

This is a live preview of what Riley does every day for your practice.

app.practis.health/riley
Claim Pre-Scrub Results
Today's Claims (8)94% Clean Rate
Martinez, C.
97140×2, 97110×2
$340Clean
Patel, S.
97110×2, 97530×1
$285Clean
Thompson, R.
97140×2, 97110×2, 97112×1
$410KX Missing
Okafor, N.
97110×1, 97530×2
$225Clean
Error Detection
Action Required — Thompson, R.
KX modifier required for visits exceeding Medicare therapy cap. Patient has reached $2,110 of $2,150 threshold. Add KX modifier to attest medical necessity.
Denial Pattern Intelligence
UHC — Missing modifier
3
Aetna — Auth expired
1
BCBS — Duplicate claim
0
Process

How Riley works

Four steps. Fully automated. You just review and approve.

1

Capture

Billing data is extracted from documentation, scheduling, and authorization records.

2

Scrub

Riley validates every claim element against payer rules, coding guidelines, and documentation.

3

Flag

Issues are flagged with specific corrections — you review and approve fixes.

4

Submit

Clean claims are submitted to clearinghouse with tracking for status and payment.

Performance

Riley by the numbers

94%
First-Pass Rate
Claims approved on first submission
99.1%
Error Detection
Billing errors caught before submission
$4,200/mo
Revenue Recovery
Average additional revenue per clinician
< 2 sec
Processing Speed
Time to scrub a single claim
Capabilities

What Riley can do

CPT-ICD compatibility validation
Laterality mismatch detection
Modifier accuracy verification
8-minute rule compliance checking
Documentation-to-billing alignment
Duplicate claim prevention
Payer-specific rule application
Automated ERA posting and reconciliation

"Riley caught $4,200 in undercoding errors in the first month. That's money we were just leaving on the table."

DM
Dr. Marcus Rivera
Owner, Rivera Physical Therapy
Applications

When to use Riley

Daily claim batch processing
Retroactive billing error correction
Workers' comp billing compliance
Medicare/Medicaid specific rule checking
Multi-payer claim optimization
Payment posting and reconciliation

Enterprise-grade security

Riley operates within PRACTIS's HIPAA-compliant, SOC 2 Type II certified infrastructure. All patient data is encrypted at rest (AES-256) and in transit (TLS 1.3), with complete audit logging for every AI action.

Riley

Ready to add Riley to your team?

Start your 14-day free trial. No credit card required. Riley starts working for your practice on day one.

Need help?
Ask our AI assistant about pricing, features, or demos.