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Timely Filings for Healthcare

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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.