Rivio provides an AI‑driven revenue cycle management platform that automates hospital billing from audit to post‑submission, cross‑checking electronic health record data with claims to capture every procedure and material. The system centralizes AI‑validated XML invoice generation and submission, automatically detects and appeals rejected claims, and guarantees 100 % reimbursement from health plans, giving hospitals financial certainty and operational efficiency.
Funding
Funding not disclosed
Founders
Product
Problem
Hospitals often experience significant revenue loss due to billing errors, missed procedures, and manual glosa (rejection) handling, which are compounded by fragmented submission processes across multiple insurer portals.
Solution
Rivio offers an AI‑driven revenue cycle management platform that automates the entire billing workflow for hospitals. The system cross‑checks electronic health record data against billing claims to ensure every procedure and material is captured, reducing preventable losses. AI agents generate and submit XML invoices centrally, eliminating the need to access multiple insurer portals and preventing missed deadlines. Post‑submission, the platform automatically detects and appeals rejected claims, with human billing experts overseeing the process. Rivio backs its technology with a contractual guarantee that hospitals will receive 100 % of reimbursements from health plans, aligning incentives and providing financial certainty.
Target Audience
Primary customers are medium to large hospitals and health systems that manage complex billing operations and seek to maximize reimbursement from private insurers and public payers.
Features
- Intelligent audit engine that performs preventive, concurrent, and retrospective claim reviews by matching EHR data to billing codes
- Centralized, AI‑validated XML generation and automatic submission to all insurer portals
- Automated glosa detection and appeal workflow, supported by expert billing staff
- Real‑time analytics dashboard showing audit results, claim status, and revenue recovery metrics
- Integration layer that connects to hospital EMR systems and extracts procedural data without manual entry