a live system, not a slide
Every day, billing teams lose hours
on hold with payers.
And when a claim finally gets answered, half the time it's denied, and the revenue quietly dies in a worklist. Watch what happens when an agent runs the whole loop instead.
the problem
247
claims sitting in the queue right now. Which ones are even worth calling?
completion predictor
We know which to call,
and which to skip.
Before dialing, each claim is scored from prior call outcomes and payer behavior. No wasted calls.
the money shot · a real call
Otto places the call. For real.
Otto → Meridian Healthdialing…
counterparty graph
As Otto talks,
the graph builds itself.
Every call turns an unstructured conversation into structured, reusable knowledge about how this payer behaves.
self-rewriting playbook
The payer changed the rules.
Otto rewrote its own.
Mid-call, Meridian demanded a taxonomy code Otto was never scripted for. It adapted, and wrote a new rule so every future call is already immune.
✦ new rule written · live on the call
Meridian now also requires the rendering provider's taxonomy code at verification.
appeal engine
The claim denied.
So we recovered the money.
Everyone files appeals. We know which ones will win, per payer, before we file. This denial is worth fighting.
⚑ recoverable · filed on the call
$4,720
reversal odds (this payer)80%
groundsmodifier 25, separately identifiable E/M
filed within deadline90 days
the whole loop
Predict. Call. Learn.
Adapt. Recover.
That's the Completion Loop. Conversations are a cost; completions are the product. What you just watched is running live, and here's the full system.