day10 / our work.
Healthcare MSOs
Healthcare administrative operations weren’t designed as a complete unified system. They evolved as a patchwork of legacy portals and manual handoffs with no single source of truth.
Healthcare
/01
Client
Our client's mission is to empower clinician entrepreneurs and small healthcare practices to build, launch, and grow without drowning in administrative complexity.
The stack was solid: modern EHR, RCM, clearinghouse, eligibility, credentialing, scheduling, intake. The components were all in place - but each tool operated in isolation.
/02
Challenge
01
Revenue workflows spanned multiple vendors, each with its own interface, logic, and timing
Answering basic questions — why a claim was denied, where cash was stuck, which providers were billable, what required action today — meant navigating systems that didn’t share a unified operational model.
02
The business was run by a lean team covering clinical, financial, and operational roles.
It depended on converting visits into reimbursed claims — consistently and without leakage.
/03
Solution
It ingests structured data across the stack, normalizes claims, denials, eligibility, and provider status, translates payer logic and denial codes into plain language, and prioritizes work by financial impact. Not another dashboard. An intelligence layer.
Claim-level timelines, plain-English denial explanations, recoverability estimates, and suggested next steps. A founder can understand any claim in under 30 seconds.
On top of that, we built AI-generated worklists that rank claims by dollar impact and SLA risk, shifting billing from reactive cleanup to proactive prioritization
And an embedded AI assistant that surfaces revenue risk, drafts follow-ups, and schedules actions directly inside the workflow.
/04
Impact
We built an AI-first operational layer that turned fragmented revenue ops into a single intelligence layer. For a lean team running $1M+ in annual claims, that's not a productivity win. It's a survival advantage.
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Before
After
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/05
Team snapshot
AI-Augmented Senior Pod
2 FTE
+
Traditional build would require
7-8 FTE
Building from zero or transforming existing operations? Time to claim your unfair advantage
