Your follow-up handled in one place:
Resolve
A bad PCR went out. We know why, and we fix it.
Ambra reads every denial against the original PCR and pinpoints what the payer flagged: missing medical necessity language, absent signatures, level-of-service mismatch, no PCS on file. Then it writes the appeal that answers each deficiency point by point, with the clinical evidence attached. Medical necessity denial to payer-ready appeal letter in 38 seconds.
Every claim, statused in one click.
Ambra checks claim status across Medicare, Medicaid, and commercial payers in a single pass: no portal logins, no phone trees. Every claim comes back with where it stands, what is holding it, and the next action, so your team works the exceptions instead of hunting for statuses.
Stop paying billers to sit on hold.
Ambra manages the entire call with an AI caller. It dials the payer, navigates the phone tree, waits out the hold queue, and comes back with what your team actually needs: reprocessing timelines, claim status, ERISA plan and funding type, receipt confirmation, and the reference number, logged to the claim. Your biller never picks up the phone.
Self-funded or fully-insured? Ambra knows.
Funding type decides the rules of the game. ERISA self-funded plans follow federal appeal rights and deadlines, while fully-insured plans follow state law. Ambra determines each patient's plan funding type up front and routes every appeal and complaint down the path that actually applies.
COB Engine
200+ payers resolved in 1 click.
Medicare, Medicaid, VA, Commercial, self-funded
Ambra applies MSP rules, birthday rules checks employer size thresholds, to resolve the correct billing order for every claim. Thirty COB-flagged claims re-routed in the time it takes to look up one.
Regulatory intelligence.
60 days, then we appeal.
Ambra monitors every open appeal. When a payer misses a statutory deadline, Ambra cross-references state regulations, generates a compliance affidavit, and pre-fills the DOI or Dept. of Labor complaint.
Payers respond faster when they know you know the law.
Backlog recovery.
Your write-off queue saved from collections.
Ambra ingests stale denials, identifies which are still within appeal windows, scores them by recoverability, and generates appeal packages for the highest-value claims first.
Custom builds. Any AI workflow you describe.
Denials are where Ambra started, not where it stops.
We work directly with your billing and ops teams to stand up AI where it returns the most time: PCR QA, training, inventory, CAD and dispatch data, scheduling.
Our builds run on the same secure, EMS-native foundation as our denials engine: NEMSIS and X12 standard, HIPAA compliant, BAA signed, a human approving every action.
Reach out to us to custom scope the build with you.
Assistive AI built responsibly for EMS.
Developed by a NREMT-certified team with thousands of field hours and 20+ years combined RCM experience.
Proudly made in the USA
Backed by
HIPAA
SOC 2
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