34% of healthcare leaders say medical coders are the single hardest role to fill. 30% national shortage. $262 billion in annual claim denials. Every empty seat in your RCM department is a direct hit to your bottom line — not in months, but this week. Neuralogic deploys a fully custom Revenue Cycle ADE that codes, bills, manages denials, and posts payments 24/7 at a fraction of FTE cost. Not a SaaS plugin. A complete replacement for the work itself. And that's just one of 25+ hospital roles we automate.
Physician turnover alone costs U.S. healthcare $4.6 billion annually. Hospitals spend over $60,000 to replace a single RN. 18.3% annual turnover. Nearly 1 in 10 roles sitting open at any given time. The cycle doesn't end — it compounds.
70% of denied claims are eventually paid — but only after multiple costly appeals, phone calls, and human review cycles. Your billing team is drowning in rework while $262 billion in annual denials compounds.
16.4% RN turnover rate nationally. $61,110 to replace each one. Hospitals hired 385,200 RNs in 2024 just to backfill — yet the shortfall of 78,000+ full-time RNs persists. Each additional patient per nurse raises mortality risk by 12%.
56% of total hospital costs are labor. The HR-to-employee ratio is just 0.79 per 100 staff. Patient access, scheduling, credentialing, and compliance teams are understaffed, undertrained, and churning.
85% of clinicians report that prior authorization requirements delay necessary care. Every PA request requires human research, fax coordination, payer calls, and follow-up — consuming clinical hours on admin.
Hospitals spent $1.7 billion on travel nurses in 2024 alone. Contract labor costs 20–30% more per shift than permanent staff. 74% of hospitals want to reduce travel reliance — but can't fill permanent roles.
Chatbots that generate tickets, not outcomes. EHR plugins that still need full human oversight. "AI-powered" add-ons that are just software with a label. They assist. They don't replace. You're paying twice.
When a medical coder or billing specialist walks out, cash stops flowing — immediately. Claims don't get processed. Denials pile up. AR extends. Reimbursement stalls. There is no other administrative role where a single vacancy hemorrhages revenue this fast, this directly, and this permanently.
Neuralogic builds a Revenue Cycle ADE — an Autonomous Digital Employee purpose-built for your hospital's payer mix, coding requirements, and denial patterns. It processes claims, manages denials, posts payments, and follows up on AR 24/7 — with zero turnover, zero burnout, and zero ramp time. Your competitors cannot access it.
This isn't a marginal upgrade. It's a fundamentally different architecture for how hospitals operate, bill, and scale — built exclusively for your organization, not shared with your competitors.
| Capability | ⬡ Neuralogic ADE | SaaS / Low-Code AI | Human Employees |
|---|---|---|---|
| Architecture | Fully custom, single-tenant build. Your ADE is built for your workflows, your EHR, your payer mix — no one else gets it. | Multi-tenant shared platform. Same templates serve every hospital. Configuration, not customization. | Each person has their own methods, shortcuts, and knowledge gaps. No standardization at scale. |
| Revenue Cycle | End-to-end autonomous claims processing, denial management, and appeals — from charge capture through reimbursement. Zero rework. | Rule-based scrubbers and flagging tools. Still requires staff to investigate, appeal, and resubmit. | 8–12 FTEs per 100-bed facility. Manual payer follow-up. 47-day average AR. High error rate under volume. |
| Prior Auth | Fully autonomous PA submission, clinical evidence compilation, payer-specific routing, and status tracking — 24/7. | Template-based fax/portal submission. Still needs clinical staff for supporting documentation. | 3-5 hours per PA request. Phone trees, fax delays, payer callbacks. Clinician time wasted on admin. |
| Patient Access | Autonomous intake, insurance verification, eligibility checks, appointment scheduling — every channel, every hour. | Chatbot with scripted flows. Breaks on edge cases. Escalates to humans for anything beyond FAQ. | Call center team. 3-minute avg. hold time. Business hours only. Inconsistent quality by shift. |
| Documentation | ADE-powered documentation support, coding assistance, CDI query management — integrated with your EHR natively. | Ambient listening tools that auto-generate notes. Still require physician review and CDI team. | Physicians spend 2 hours on documentation for every 1 hour of patient care. CDI teams backlog 30+ days. |
| Compliance | Continuous monitoring, automated audit prep, regulatory tracking — HIPAA, JCAHO, CMS, state-specific. | Compliance checklists and document storage. Manual review required. Alert fatigue common. | Compliance officer + team. Reactive, not proactive. Annual audit prep is a multi-week fire drill. |
| Deployment | 9-week average to beta. Fully custom-built and integrated. Not dependent on vendor platform updates. | "72 hours to launch" — but months of configuration, workarounds, and hidden customization fees. | 90-day average onboarding. 6 months to full productivity. Then they leave. |
| Scalability | Deploy to 1 facility or 50. Same architecture, exponential scale. No per-seat licensing. | Per-seat pricing. Per-facility configuration. Admin overhead multiplies with each location. | Linear cost curve. Every new facility = full staffing duplication + management layer. |
| Data Ownership | 100% your IP. Single-tenant. Your data never touches another customer's infrastructure. | Vendor-owned platform. Your data trains their models. Shared infrastructure = shared risk. | Institutional knowledge lives in people's heads. When they leave, it leaves with them. |
| Total Cost | Up to 70% less than equivalent headcount. No benefits, turnover, or management layer. | Tool cost + full human cost. You're paying twice for the same output. | Salary + benefits + turnover ($61K/RN) + travel nurse premiums + agency fees + the $4.6B burnout tax. |
Traditional AI tools assist your people. SaaS platforms give you the same product your competitor across town is using. Neuralogic replaces the work itself — with a fully custom, single-tenant system built exclusively for your hospital. Your competitors cannot access your ADE. That's not a feature. That's a permanent operational advantage.
Each ADE is engineered from the ground up — not configured from a template. Built around your specific EHR, payer contracts, compliance requirements, and operational workflows.
Autonomous charge capture, claims submission, denial management, appeal generation, and AR follow-up. Processes thousands of claims daily with zero rework, zero fatigue, and payer-specific intelligence that improves with every cycle.
End-to-end PA automation — clinical evidence extraction, payer-specific submission routing, real-time status tracking, and appeal escalation. Eliminates the 3–5 hour manual PA workflow entirely.
Autonomous intake, insurance verification, eligibility pre-check, appointment scheduling, referral management, and patient communication — across phone, text, email, and portal. Every patient, every channel, 24/7/365.
Intelligent documentation support, CDI query management, coding accuracy validation, and audit-ready record preparation. Frees physicians from the 2:1 documentation-to-patient-care ratio that drives burnout.
Continuous regulatory monitoring across HIPAA, JCAHO, CMS, and state-specific requirements. Automated credentialing verification, privileging workflows, audit trail generation, and policy tracking.
Autonomous post-discharge outreach, medication review, symptom monitoring, and readmission prevention. Every discharged patient contacted, every time — with intelligent escalation when risk is detected.
An ADE isn't a tool your team uses — it is the team member. Each Autonomous Digital Employee performs the full scope of work for a specific hospital function: end-to-end, 24/7, with zero turnover. These are the roles Neuralogic ADEs are built to replace.
Claims submission, coding verification, denial management, payment posting, and AR follow-up. The financial oxygen supply of your hospital — now running autonomously, 24/7.
Investigating, appealing, and resubmitting denied claims with payer-specific intelligence. Processes denials at 5× speed — every appeal, every time, zero backlog.
End-to-end PA automation from clinical evidence compilation to payer submission to status tracking. Eliminates the workflow that 85% of clinicians say delays care.
Autonomous intake, insurance verification, eligibility checks, scheduling, and referral coordination — every channel, every hour. The front door of your hospital, always open.
Intelligent CDI query management, coding accuracy validation, and audit-ready record prep — integrated natively with your EHR. Frees physicians to practice medicine.
Continuous HIPAA, JCAHO, CMS monitoring. Automated credentialing, privileging verification, audit trail generation, and policy tracking — proactive, not reactive.
Outstanding claims follow-up, payment posting, account reconciliation. Reduces days in AR from 47 to under 20 — recovering cash that's already been earned.
Autonomous post-discharge outreach, medication review, symptom monitoring, and readmission prevention. Every patient contacted, every time — with intelligent clinical escalation.
Record requests, release processing, audit responses, and chart management. Compliance-critical work running autonomously with full audit trail.
These aren't projections from a pitch deck. These are the operational benchmarks Neuralogic ADEs deliver — measured against the industry averages your CFO already knows.
Not a SaaS onboarding. Not a "72-hour setup." A fully custom, enterprise-grade deployment built from scratch for your hospital's specific operational DNA.
We audit your highest-cost, highest-turnover administrative roles, map workflows, and define which functions yield the fastest ROI for ADE deployment.
We architect fully custom Autonomous Digital Employees tailored to your EHR, payer mix, compliance environment, and operational requirements — single-tenant, your IP.
ADEs are integrated into your existing systems, tested against real workflows, and deployed with full governance — delivering measurable results from day one of beta.
Continuous performance optimization. As ADEs learn your environment, we expand coverage to additional departments — scaling capacity without headcount.
Your hospital can't hire its way out of a 30% coder shortage. The cost curve is unsustainable — $262 billion in annual denials, $61K per RN replacement, 56% of total costs locked in labor. Neuralogic deploys fully custom ADEs that replace the work itself. Not a tool your team uses. The team member.
30-minute strategy call. Zero obligation.
Neuralogic builds autonomous digital employees across 20+ industries.