Opalforce — Growing Practices. Digitally.

Claims & Revenue AI

Claims built from what was documented.

Claims & Revenue AI prepares claims from what was documented, then tracks each one.

How it works

  1. 1Documented work gathered

    Services and evidence come from what your team recorded.

  2. 2Checked and held

    Your team reviews

    The claim waits for staff approval before it goes out.

  3. 3Submitted and tracked

    Submitted, received and accepted are tracked as separate steps. Received is not paid.

  4. 4Payment matched

    It's counted as paid only when the payment is matched back to the claim.

Example

A claim is shown as submitted, then accepted, then paid: three separate steps, never merged.

What your team receives

  • Claims ready for approval
  • A status for each claim
  • Denials and missing evidence to follow up

Limits and setup

Never invents codes or procedures.

This page explains the workflow. It runs for your practice only after we assess, connect and test your practice systems.

Questions about Claims & Revenue AI

Live use depends on a connection we assess and test for your practice systems.

How practice connections work
Can it add codes?
No. It never invents codes or procedures.
Is submitted the same as paid?
No. Submitted, accepted, decided, paid and posted are separate steps.
Does this page contact a payer?
No. Status events here are samples you switch on.