Tribe ecosystem · HealthcareExpert humans. Autonomous AI. You choose how your operations run.
CareHub delivers medical back-office, care-gap closure and revenue cycle management three ways — trained healthcare specialists, autonomous AI agents, or a hybrid of both. Same compliance. Same outcomes. Your call on how you get there.
One partner. Three ways to run every service.
Every CareHub service — back-office, care-gap, RCM — can be delivered by expert humans, autonomous AI agents, or a blend of the two. Start where you're comfortable and scale into AI as trust builds. You're never locked in.
Human
AI Agents
Hybrid
The operational load, handled.
Back-office services
Appointment scheduling · prescription reviews & refills · insurance verification · referral management · lab reviews · medical scribing · medical records · front-desk & patient inquiries.
Available as Human · AI · or HybridCare-gap closures
Medication adherence · diabetes control (HbA1c) · blood pressure control · statin therapy · depression screening & remission · breast & colorectal cancer screening · falls-risk screening · tobacco cessation.
Available as Human · AI · or HybridRevenue cycle management
Full revenue cycle — eligibility to collections — with cleaner claims, fewer denials and faster cash. See the detailed breakdown below.
Available as Human · AI · or HybridStop leaving revenue on the table.
Denied claims, coding errors and slow collections quietly drain provider revenue. CareHub runs your full revenue cycle — cleaner claims, fewer denials, faster cash — with humans, AI agents, or both at every stage.
| Stage | What we do | Where AI accelerates | Where humans stay essential |
|---|---|---|---|
| Eligibility & benefits | Verify coverage before the visit | Instant automated payer checks | Edge-case coverage questions |
| Prior authorization | Secure approvals, track status | Auto-submission & follow-up | Sign-off before submission |
| Medical coding | ICD-10 / CPT / HCPCS | AI-assisted code suggestion | Certified coder review & compliance |
| Charge capture & scrubbing | Catch errors before claims go out | AI claim scrubbing pre-submission | Exception handling |
| Claims submission | Clean claims, first time | Automated submission | Complex-claim oversight |
| Payment posting | Reconcile payments to claims | Automated posting & matching | Discrepancy resolution |
| Denial management & appeals | Work denials, draft appeals | AI predicts & flags likely denials | Appeal strategy & submission |
| A/R follow-up | Chase aging receivables | AI prioritizes A/R by recovery odds | Payer negotiation |
| Patient billing | Statements & collections | Automated statements & reminders | Sensitive collections calls |
| Reporting & analytics | Full revenue-cycle visibility | Real-time dashboards | Strategic review |
AI agents, built for the clinic.
Built by CodingKey — proven in CareHub's own live operations before they reach your practice.
Patient Engagement Agent
24/7 inbound calls & chat, inquiries, triage-to-human
Scheduling Agent
Booking, rescheduling, reminders — written to your EHR/PMS
Eligibility & Prior-Auth Agent
Coverage checks, verification, prior authorizations
Coding & Claims Agent
Code suggestion, claim scrubbing, submission
Denials & A/R Agent
Predicts denials, drafts appeals, prioritizes A/R
Refill Triage Agent
Sorts and routes refill requests to the right provider
Care-Gap Outreach Agent
Proactive, multi-channel outreach for screenings & adherence
Ambient Documentation Agent
Drafts clinical notes from the encounter
AI does the work. Clinicians make the calls.
Whichever model you choose, one rule holds: agents execute administrative and engagement work; humans and clinicians own every care decision. Every agent runs in a HIPAA-compliant, ISO 27001-certified environment, with human-in-the-loop escalation, full audit trails, and patient data protected end to end.
Proof, from live operations.
Close more gaps. Raise your Star rating. Capture the reimbursement.
Care-gap closure drives HEDIS measures. HEDIS measures drive CMS Star ratings. Star ratings drive reimbursement and shared savings. Human outreach is capped by headcount — AI outreach isn't. Run proactive gap-closure across your entire panel, every measure, every cycle.
Proven in a real clinic before it reaches yours.
Most healthcare AI is built in a lab and hopes to work in a clinic. CareHub's agents are built in a clinic — pressure-tested against real patients, real payers and real compliance — before a single enterprise client switches them on.
Human, AI, or both — let's find the right mix for your practice.
Bring us your back-office burden, your open care gaps and your revenue cycle. We'll show you what to run with people, what to hand to AI, and where the blend pays off most.