Pricing & Quoting

Stop Wasting Hours on Manual Pricing and Quoting

We build custom AI solutions that automate healthcare pricing workflows, cut errors, and accelerate revenue cycles.

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Industry Context
Healthcare pricing and quoting are uniquely complicated -- strict regulatory requirements, constant fee schedule updates, shifting payer contracts, and high staff turnover. Manual processes cause errors, delayed reimbursements, and compliance risk. Margins are tightening and admin overhead keeps growing, so bad pricing workflows directly hurt revenue and patient satisfaction.
By the Numbers
15-25%
revenue leakage from pricing errors
HFMA Revenue Cycle Report, 2024
72 hrs
average time to produce a complex quote
Advisory Board, 2025
40%
faster quoting with AI-driven pricing models
McKinsey Pricing Analytics, 2024
The Problem

What you're dealing with

Manually cross-referencing CPT codes with payer-specific fee schedules for every patient inquiry
Slow responses to patient quote requests because of back-and-forth between billing and clinical teams
Errors in patient estimates that cause compliance issues, denials, or patient dissatisfaction
Time-consuming updates to pricing matrices whenever contracts or regulations change
The Solution

How it works

We start by interviewing your staff to understand how pricing and quoting actually work -- not the documented process. We map your current workflows, systems, and constraints, then design a custom AI system that automates data retrieval, applies business rules, and generates accurate, compliant quotes. Using our platform, we build and deploy in weeks. You get a system that connects to your EHR, billing software, and payer portals, pulls real-time data, and produces consistent, audit-ready quotes without manual work.

Arc

Connects to your EHR, billing systems, and payer contracts to pull data and generate real-time quotes

POI

Applies business logic and compliance rules so quotes are accurate and meet regulatory requirements

In Practice

Before and after

Before
A patient calls for a quote on a procedure. The front desk emails the billing team, who manually looks up the CPT code in three different systems, checks insurance eligibility, applies the contract rate, and responds hours or days later.
After
The front desk enters patient and procedure details into a custom interface we built. The system checks eligibility, applies the correct contracted rate, and generates a compliant quote in under 60 seconds.
  1. 1 Staff enters patient and procedure info into the custom UI
  2. 2 System validates insurance eligibility and retrieves contracted rates
  3. 3 AI applies business rules and compliance checks
  4. 4 Quote is generated and sent to patient immediately
4 weeks
Average delivery time
From signed agreement to live deployment for healthcare pricing automation
FAQ

Common questions

How do you ensure compliance with healthcare regulations?
We build compliance rules directly into the system based on your contracts and regulatory requirements. Every quote gets checked for consistency and adherence automatically.
What if our payer contracts or fee schedules change?
The system handles updates. We can build automated ingestion for contract changes, or give your team simple tools to manage updates themselves.
How long does it take to build and deploy?
Most pricing and quoting systems are delivered in 4-6 weeks, from discovery to live deployment.
Do we need to change our existing EHR or billing systems?
No. We connect to your current systems via API or secure data connectors. No migration required.
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