Verify insurance
Check eligibility and surface exceptions before the visit.
Services / Claims Handling
Submitted is not resolved. Autumn stays with the claim.
After your team submits, Autumn handles the insurer-facing follow-up, keeps the claim financials and evidence together, and brings people in only when processing stalls or the payer needs a judgment call.
Lifecycle visibleClaim financials togetherExceptions routed
Post-submission operations
A clean claim can still get lost in the middle.
The Claims workspace distinguishes Claims, Secondary claims, and Payments to post. Within the claim list, Denied, Pended, and Fee not expected states remain next to the claim ID, carrier, and financial amount that still needs resolution.
The handoff
Autumn stays with the claim.
All you have to do is submit the claim.
Submit the claim
Send it from your practice system.
One handoffConfirm receipt
Make sure the payer accepted it and has what it needs.
Monitor processing
Track status, delays, and payer requests.
Resolve exceptions
Work rejections, denials, and underpayments.
Reconcile payment
Split payments and carry the result through posting.
The claim journey
Received is not resolved.
Autumn stays with the claim through payer requests, processing changes, payment splits, denials, and final reconciliation.
Protect submission
Confirm receipt and supply the attachments, narratives, or corrections the payer needs.
Watch processing
Monitor status, timing, and unexpected changes; escalate anything that stops moving correctly.
Resolve the outcome
Handle denials, underpayments, and payment splits, then carry the result into reconciliation.
Inside Autumn
Claim state and money, together.
The Claims view keeps lifecycle state beside billed, reimbursed, and remaining amounts. Pended, denied, and unexpected-fee states stay visible instead of disappearing into an aging bucket.
The details
Submit once. Autumn carries what comes next.
Confirm the payer has everything
Track receipt and make missing narratives, attachments, records, and other evidence immediately actionable.
Monitor processing
Follow payer status and timing so stalled, rejected, or incorrectly processed claims surface before they age.
Handle payment complexity
Keep split payments, partial payments, coordination, and multi-claim remittances tied to the correct ledger outcome.
Resolve denials and underpayments
Organize the reason, supporting plan language, prior history, and the next response without losing the claim story.