Purpose-built for gynecological medical coders and IVF billing specialists. Automates the complex, specialty-specific coding and billing workflows that generic platforms can't handle.
Gynecological and IVF billing is among the most complex in healthcare — multiple payers, evolving fertility coverage mandates, intricate CPT coding for ART procedures, and high denial rates. Traze AI's RCM was built specifically for this challenge.
AI verifies insurance benefits & fertility coverage in real time before the appointment.
ICD-10 & CPT codes suggested based on encounter documentation and procedure performed.
Automated pre-auth requests submitted to payers for IVF cycles and ART procedures.
Claims reviewed by AI for errors, then submitted electronically to all payers.
Denials tracked, root-cause identified, and appeals generated automatically.
From first insurance check to final reimbursement — every step automated for gynecology and IVF.
AI suggests ICD-10 and CPT codes for gynecological procedures, IVF treatments, and ART services — reducing coding errors and improving first-pass rates.
Real-time benefit verification for every patient, including fertility coverage and IVF benefit limits, before the first appointment.
Automatically generate and submit prior authorization requests for IVF cycles, diagnostic procedures, and surgical gynecology cases.
AI scrubs claims for errors before submission, verifies payer-specific requirements, and submits electronically to all major insurance carriers.
Track every denial, identify root causes by payer and procedure type, and generate appeals automatically — with AI-drafted supporting documentation.
Monitor collection rates, denial rates, days in AR, and reimbursement trends by payer, provider, and procedure — with alerts for emerging issues.
AI automation reduces manual work and improves financial performance across the entire revenue cycle.
*Based on typical client outcomes. Results vary by practice size, payer mix, and starting baseline.
Book a free 45-minute demo of Traze AI's RCM for your gynecology or IVF billing team.
Request Your Free RCM Demo →