Problem
Hospitals lose millions each year to avoidable write-offs simply because claims are not submitted before payer deadlines.
The core challenges include:
- No centralized view of payer-specific filing windows
- Thousands of claims in motion at any time
- EMRs lack proactive deadline alerts
- Manual spreadsheets and tribal knowledge driving processes
- High staff workload, leaving little time for deadline monitoring
When deadlines are missed, revenue becomes permanently unrecoverable — and the loss is entirely preventable.
Solution
Generate’s Timely Filings Workflow automates deadline tracking across every payer and every claim, giving RCM teams real-time visibility into which accounts need attention right now.
The workflow delivers a prioritized list of claims nearing expiration, ensuring your team focuses on the highest-risk accounts and submits them before time runs out.
What the solution enables:
- Automated tracking of payer-specific filing deadlines
- Alerts for claims approaching expiration
- A unified dashboard across all payers and accounts
- Zero manual rule-checking or spreadsheet maintenance
- Seamless integration with your existing RCM processes
Overview
Generate sits outside your EMR to provide a unified, intelligent view of deadlines across payers — something EMRs and legacy RCM tools are not designed to do.
By automating filing window tracking, hospitals turn a historically manual and error-prone workflow into a scalable, predictable process that protects revenue and improves cash flow.
Key Benefits
- Recover Preventable Revenue: Stop losing money to missed deadlines and avoidable write-offs.
- Boost Staff Productivity: Remove manual, repetitive tracking tasks and let teams focus on value-driving work.
- Improve Compliance & Accuracy: Ensure every claim meets payer timing rules without relying on tribal knowledge.
- Accelerate Cash Flow: Prioritize and submit claims faster with automated deadline intelligence.
Who It’s For
- RCM Directors & Managers
- Revenue Integrity Teams
- Hospital CFOs
- Operational Leaders
- Billing & Collections Teams
Example Outcome
Hospitals leveraging the Timely Filings Workflow typically see:
- 30–50% reduction in avoidable write-offs
- Faster and more predictable claim submission cycles
- Improved accountability and transparency across RCM teams
How It Works Inside Generate
The Timely Filings Workflow is one of Generate’s secure, agentic AI workflows—operating entirely within your environment (on-prem or private cloud).
- No PHI leaves your network
- No integrations required
- Reads existing EMR exports or EDI files
- Provides daily, actionable deadline alerts
Generate empowers RCM teams with the visibility and automation they need to protect revenue at scale.