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MediBillAI Summary

MediBillAI is Agentic AI software for Medical Billing Software & RCM Automation. MediBillAI is integrated with OpenAI and 100% HIPAA Compliant.
MediBillAI by HiPaaS is an intelligent platform that automates the Revenue Cycle Management (RCM) process for hospitals, clinics, medical groups, and healthcare insurance companies.

MediBillAI does everything that Traditional RCM does by using smart AI - Patient registration, eligibility, prior authorization, claims, medical coding, claims submission, claims payments, patient collections, EOB, denials and smart AR management.  
Built on advanced AI agents, FHIR interoperability, and EDI integration, MediBillAI helps streamline billing, coding, claims processing, and denial recovery—reducing costs and improving cash flow.
Integrated with OpenAI and 100% HIPAA compliant

At a Glance

  • Simply Chat with MediBillAI - No need to go through complex forms, screens, tabs, websites,  scans, papers. 

  • MediBillAI has Medical Experience - Our AI Models are build using experience of actual Medical Experts ( Doctors and Hospital Owners part of our advisory panel )

  • MediBillAI is trained - Our AI Models are trained with 10+ years of medical data

  • No Need to depend on others  - MediBillAI has automated various manual workflows and expert dependency

  • Secure and 100% HIPAA - Zero HIPAA PHI Data Retention for AI Models

  • Easily integrate with any EHR, PMS and RCM products and Clearing Houses

  • MediBillAI does everything that Traditional RCM does by using smart AI - Patient registration, eligibility, prior authorization, claims, medical coding, claims submission, claims payments, patient collections, EOB, denials and smart AR management.  

Core Capabilities

​1. AI Claim Processing: Automates claim validation, correction, and submission using large language models trained on payer rules and CMS data.

2. Denial Management: Detects, categorizes, and prioritizes denials automatically—reducing manual rework and improving collections.

3. Prior Authorization & Eligibility: AI agents handle prior auth and eligibility verification through EDI (270/271) and FHIR APIs.

4. Coding Assistance: Suggests accurate ICD-10 and CPT codes using clinical notes and documentation analysis.

5. Analytics & Reporting: Generates predictive insights into claim delays, denials, and reimbursement trends.

6. Patient Registration: Simplified patient registration flow

7. Patient Collection: Collect copay and other collections from patients using AI

Who Benefits

​1. Hospitals & Health Systems: Optimize cash flow and minimize administrative burden.

2. Medical Groups & Clinics: Focus more on patient care, less on billing tasks.

3. Health Plans & Payers: Simplify claims intake and improve provider satisfaction.

Why Choose MediBillAI

  • Reduces manual billing tasks by 40% or more

  • Lowers cost per claim by up to 25%

  • Decreases average A/R days

  • Improves accuracy and compliance

  • Integrates with existing workflows—no rip-and-replace

Powered by HiPaaS Interoperability

MediBill AI is part of the HiPaaS Healthcare Platform, which connects payers and providers through secure FHIR, EDI, and AI automation.
Together, they create a connected digital ecosystem for faster, smarter revenue management.

Get Started

See how MediBillAI can transform your billing operations.
📞 Book a Demo → Contact HiPaaS
📩 Email: sales@hipaas.com

FAQ

Q1: What EHRs does MediBillAI integrate with?
MediBill connects with all major EHRs including Epic, Cerner, Meditech, Allscripts, and athenahealth via FHIR or EDI.

Q2: Does MediBill support CMS and payer interoperability?
Yes. It’s fully compliant with CMS interoperability standards (FHIR R4, EDI 837/835, 270/271).

Q3: How secure is the data?
HiPaaS uses HIPAA-compliant architecture with encryption, audit trails, and SOC 2-certified hosting.

Ready to Start Free Trial?

Register to request demo and to get invite for Free Trial

Call us

​Tel: +1 408-372-4313

Email us

Get In Touch

Leading Enabler of Healthcare Data
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Call us

​Tel: +1 408-372-4313

Locations

 

USA

6200 Stoneridge Mall Rd, Suite 300

Pleasanton, CA 94588

India

HiPaaS InfoTech Pvt. Ltd.,

Unit-811, 8th Floor, Lodha Supremus, Kolshet Road, Thane(West)-400607

HiPaaS InfoTech Pvt. Ltd.,

1st Floor - B wing, Teerth Technospace, Bengaluru-Mumbai Highway,

Baner, Pune-411045

HiPaaS InfoTech Pvt. Ltd.,7

Guindy - Chennai, Tamil Nadu

Philippines

GF, Gloria Building, Aguirre, Legazpi Village, Makati, Metro Manila, Philippines

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© 2025 by HiPaaS. HiPaaS is a Trademark of HiPaaS Inc.

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