Analyst-level friction
- Manual payer checks and prior-auth follow-ups across multiple portals
- Claim edits and exception queues consume high-value analyst hours
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SECTOR BRIEF 01
PE-backed multi-location healthcare (DSOs, specialty groups, urgent care)
Denials, eligibility errors, and location variance quietly drain EBITDA.
Where execution breakdowns surface first
Management bottlenecks
- Inconsistent intake and coding quality across locations
- Growing denial backlog and unstable collection velocity
Executive exposure
- Margin leakage in RCM with limited operational visibility
- Post-acquisition integration slows value capture
Initial deployment architecture
- Eligibility + authorization verification agents at intake
- Denial risk scoring with appeal-draft and work-queue prioritization
- Location-level revenue-cycle command dashboard for operators
Decision trigger: Denials above target, AR days climbing, or 10+ locations running uneven workflows.
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