CollectIQ combines AI-powered intelligence, automation, and human expertise to prevent denials, uncover underpayments, accelerate AR resolution, and improve cash predictability across the back end of the revenue cycle.
Prevent recurring denials, identify silent underpayments, and improve financial predictability.
Care outcomes matter. Financial outcomes do, too.
Action Through Intelligence. Proven Through Outcomes.
THE OPPORTUNITY
Turn revenue recovery into predictable financial performance.
Traditional collections models were built for manual follow-up, fragmented workflows, and labor-based scale. But today's reimbursement environment is shaped by payer complexity, silent underpayments, growing denial pressure, and rising cost-to-collect.
CollectIQ gives providers a smarter model for late-stage revenue performance by combining machine learning, large language models, agentic AI, and operational execution into a single intelligence-led workflow. The result is a more modern revenue recovery engine that helps organizations reduce leakage, improve yield, and create more predictable financial outcomes.
2–3A/R days recovered
01
Appeals
Evidence assembled, payer-specific.
02
CFO view
Cash, yield and cost to collect.
03
Recovery team
Next-best action, every account.
THE CollectIQ PORTFOLIO
A technology-led approach to late-stage revenue performance.
CollectIQ operates as an intelligence and execution layer above existing EHR and billing systems, connecting insight directly to action across the collections lifecycle. Select a solution to explore its capabilities.
Prioritize the right work to accelerate cash.
Improve AR performance with intelligent execution.
Claim status automation
Payer follow-up
Dynamic work allocation
Correspondence management
Payment posting
Credit balance management
Intelligent work queues
Next-best-action execution
Identify contractual payment gaps and recover lost revenue.
Find and resolve expected-versus-actual payment discrepancies.
Contract management and modeling
Reimbursement validation
Expected-versus-actual payment analysis
Underpayment identification
Recovery prioritization
Automated recovery workflows
Improve post-service recovery with patient-centered engagement.
Support recovery of outstanding patient balances.
Post-service patient billing
Self-pay account management
Early-out collections
Patient financial assistance
Intelligent outreach
Prioritize recoverable denials and prevent recurrence.
Identify denial patterns and coordinate recovery.
Denial pattern identification
Recoverability scoring
Appeal prioritization
Automated appeals
Clinical evidence generation
Payer-specific intelligence
Workflow execution
Targeted human escalation
Resolve specialized claims with targeted expertise.
Apply specialized investigation to complex payer scenarios.
Third-party liability
Workers’ compensation
Complex payer scenarios
Specialized claims investigation
Tailored recovery workflow execution
HOW INTELLIGENCE BECOMES ACTION
From fragmented workflows
to connected execution.
Most solutions improve task efficiency. CollectIQ is built to improve enterprise performance. Omega combines AI-led decisioning with expert human oversight to scale intelligence first and apply labor where it adds the most value.
Follow a fictional claim as CollectIQ detects a recovery opportunity, prioritizes the next best action, orchestrates follow-up, and verifies resolution.
Stage 01 / Signal
Risk detected
Underpayment & Contract Management
Detect: Identify the risk
An adjudicated claim is compared with modeled contract terms; actual reimbursement is below the expected amount.
CollectIQ response
Potential underpayment surfaced for investigation.
Mechanism
Underpayment & Contract Management
Workflow accountability
Variance flagged
Revenue impact
Possible net revenue leakage
Stage 02 / Insight
Insight generated
Underpayment & Contract Management
Analyze: Understand what matters
Contract language, payment detail, and recovery potential are evaluated to establish an actionable recovery path.
CollectIQ response
Recoverable variance prioritized with supporting evidence.
Mechanism
Contract modeling + payment validation
Workflow accountability
Recovery queue prioritized
Revenue impact
Focus on recoverable value
Stage 03 / Action
Action in progress
Underpayment & Contract Management
Act: Put intelligence to work
The team initiates a payer inquiry or recovery request with supporting contract and claim documentation; exceptions escalate to an expert.
Claims are ranked by recoverability, financial value, and next-best-action requirements.
CollectIQ response
Dynamic work queues focus attention on priority accounts.
Mechanism
Intelligent work allocation + prioritization
Workflow accountability
Priority queue generated
Revenue impact
More productive follow-up
Stage 03 / Action
Action in progress
AR Optimization
Act: Put intelligence to work
Automated status checks and payer follow-up are initiated; complex accounts route to specialists.
CollectIQ response
Next-best actions executed and tracked across work queues.
Mechanism
Claim status automation + expert follow-up
Workflow accountability
Follow-up completed
Revenue impact
Faster path to resolution
Stage 04 / Outcome
Outcome verified
AR Optimization
Verify: Confirm the outcome
Claim disposition, payment posting, and remaining balances are reconciled to measure progress.
CollectIQ response
Cash outcome confirmed and payer behavior informs future prioritization.
Mechanism
Payment verification + continuous improvement
Workflow accountability
Account outcome verified
Revenue impact
Improved cash predictability
1 of 4
Without intervention
A below-contract payment may go unnoticed, leaving earned revenue unrecovered.
Without intervention
A recoverable denial may age without timely, evidence-based appeal and lead to lost reimbursement.
Without intervention
Undifferentiated follow-up may leave high-value receivables aging while staff work lower-priority accounts.
→
With CollectIQ
Payment variance identified, recovery pursued, and final payment reconciled.
With CollectIQ
Recovery prioritized, appeal coordinated, and payer disposition tracked.
With CollectIQ
Highest-value AR actions prioritized, executed, and measured through resolution.
Conceptual workflow only. This is not a live product demonstration or a documented customer result. Specific actions, payer rules, integrations and outcomes depend on deployment configuration.
BUILT FOR MEASURABLE OUTCOMES
Built for CFO priorities. Proven financial impact.
CollectIQ is grounded in CFO-level economics, not operational anecdotes, with measurable impact across the dimensions that matter most to enterprise financial performance.
01
10–20%
Reduction in preventable denials
Root cause identified and fed upstream so the same denial does not return.
02
10–20%
Faster claim resolution
Automated status checks and payer follow-up move accounts to disposition sooner.
03
2–3
A/R days recovered
Prioritized work queues focus effort where cash moves fastest.
04
5–10%
Improvement in aged AR yield
Recoverability scoring puts the highest-value receivables first.
05
20–30%
Reduction in cost-to-collect
Automation absorbs routine follow-up so experts handle the complex cases.
06
0.5–1%
Net revenue enhancement
Silent underpayments and contract variance recovered, not written off.
Illustrative performance ranges; these are not independently verified customer results or guaranteed outcomes.
Outcomes-driven approach
Proven results and customer satisfaction.
Three products. One revenue cycle.
CollectIQ
Average reduction in A/R days
6%
Average reduction in A/R days
Improvement across collections and denial rates
10–15%
Improvement across collections and denial rates
Business Office
Claims Management & Billing
A/R Management & Collections
Underpayment Analysis & Recovery
Payment Posting & Reconciliation
Denials & Appeals Management
Analytics
Accelerate follow-up and recover cash faster
After billing
Prioritizes AR, guides next-best action and automates repetitive tasks such as statusing, notes and appeals to reduce work-in-progress and pull cash forward.
WHY OMEGA WINS
More than labor. More than analytics. More than EHR-native functionality.
CollectIQ identifies root cause, prevents recurrence, executes resolution, and learns from outcomes in a single model. It sits above the EHR, integrates with existing systems, and supports contract interpretation at scale, silent underpayment detection, and autonomous multi-step follow-up.
AI-driven intelligence
Workflow execution
Deep payer and denial expertise
Seamless integration with existing systems
A governed human-in-the-loop model
Modernize collections without replacing core systems, expanding staff, or building and tuning AI internally.
“We don't just automate healthcare. We activate it.”
Action Through Intelligence · Proven Through Outcomes