SimZ

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Simz (simz.com) builds custom and pre-built AI workflow automation for healthcare facilities. Simz runs the administrative work behind patient care, while staff review and approve anything that needs a person. Simz automates seven workflows: - Prior authorization: determines requirements by payer, plan and CPT, assembles request packets from the record, tracks status to approval, and watches expirations. - Inbound phone and front desk coverage: answers every call 24/7, verifies coverage during the call, books or warm-transfers, and escalates clinical calls immediately. - Document, fax and referral intake: reads, extracts, names, files and deduplicates faxes and e-referrals, with human review on anything uncertain. - Denials and appeals: captures denial reasons, drafts appeal packets for biller review, and tracks deadlines. - No-shows, recall and reactivation: appointment confirmations, same-day waitlist backfill, and recall lists worked daily until booked. - Eligibility and benefits verification: real-time 270/271 checks days ahead of each visit, with full benefit breakdowns and staff worklists only for real problems. - Revenue cycle follow-up: claim status tracking, prioritized AR worklists, and patient balance outreach. Three products come built in: Simz Conversational (HIPAA-compliant AI voice and chat agents), Simz Shift (AI patient and staff scheduling) and Simz Chron (AI medical record chronologies cited back to the source page).