Claims and revenue cycle
Claims checked before they reach the payer
ARGOS runs claims and revenue cycle management for payers and providers.
Live: revenue cycle management
Before the payer
ARGOS adjudicates each claim and screens it for fraud against clinical and coverage rules before it reaches the payer. When claims are checked after care, loss ratios rise and providers wait to be paid.
In the network
The claim is built at the point of care, then settled by ARGOS. For patients on the chronic pathway, ARGOS handles recurring claims.
Status
Revenue cycle management is live.
Products
Payer console
Where payers see claims after adjudication and fraud screening.
Analytics
Analytics on claims and the revenue cycle.
Leadership
Keven Pi
Managing Director, Sugen and ARGOS
Devin Yue
Chief Technology Officer