MB-0412 · Medical billing
Denied claim appeal
Maria S. · Job leadClosed
Accepted by the clinic billing lead, with evidence attached
The AI operating system that turns workers into experts
The $15-an-hour expert
Most people talk about AI replacing workers. We are building the opposite: AI that turns a capable worker into an expert. A great service rep, backed by AI specialists, can do work that used to wait for a credentialed specialist.
We build the software, the Control Center, and run expert teams on it in the Philippines for companies in the US, Europe and Asia-Pacific.
Our hours follow yours
- New YorkUnited States
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- PhilippinesYour team
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Job leads work your business day, wherever you are. For New York, that is the night shift here.
Anywhere a credential is the bottleneck
Companies can hire smart people without credentials, back them with AI and have them do work that used to need a specialist. There are millions of jobs like this in benefits, taxes, insurance claims, medical billing and immigration paperwork, and next in supply chain, global trade and M&A support.
The last industrial revolution built a middle class out of factory jobs. This one can build it out of expert jobs, in the Philippines and for the companies they serve.
- The talent
- Smart Filipino professionals hired for judgment and care, not credentials, such as a great service rep.
- The backing
- AI specialists research, draft, check rules and fill in forms. The person leads the job.
- The safeguard
- Professionals licensed in your country sign off wherever the law or the customer requires it.
- The result
- Expert-quality work for companies anywhere at less cost and less waiting, and skilled, well-paid careers in the Philippines.
- The markets
- Benefits, taxes, insurance claims, medical billing and immigration paperwork first; then supply chain, global trade and M&A support.
Software and services, on one platform
Buy the software, a team that runs on it, or the finished result. Whichever you choose, you buy accepted results, not hours or seats.
Software
The Control Center
The AI operating system: one branded portal for every job, worker, approval, cost and result. Self-hosted and white-labeled, with your own people as the experts.
See the platformServices
Expert teams in the Philippines
A dedicated team of AI-backed job leads, trained on your industry and working your business hours, with licensed sign-off where the law requires it.
See expert servicesOptional
AI-enabled, outcome-based services
Scaling AI-enabled service delivery: we sell outcomes, not headcount. Managed services and engineering, priced per result your checker accepts.
See outcome-based services
The Control Center: every job, approval and result in one place
Every piece of work is a job: a claim, a tax return, a month-end close, a loan file. Your checkers and the job leads in the Philippines work in the same Control Center. Open any job to see what done means, where it is, who is waiting on a licensed signature, and the evidence behind the result. See the platform
Control Center
Medical billing teamOpen jobs
MB-0412 · Medical billing
Denied claim appeal
Maria S. · Job leadClosed
Definition of done
- Result
- Payer reverses the denial and pays the corrected amount
- Deadline
- Before the 30-day appeal window closes
- Risk limit
- No patient data leaves the workspace
- Checker
- Clinic billing lead
Progress
- Set goalDefinition of done agreed with the clinic
- PlanMaria leads, with coding, payer-rules and drafting specialists
- RehearseAppeal tried against past denials from the same payer
- ApproveCertified coder approves one appeal, as drafted
- Do the workAppeal and six attachments sent to the payer
- VerifyPayer confirms the reversal; letter filed as evidence
- LearnDenial pattern added to the medical billing pack
Budget used
82%
Accepted by the clinic billing lead, with evidence attached
Choose a job to open its file. The jobs and names are invented for this demo.
Three industries first, seven more next
We train teams one industry at a time, so we start where the paperwork is heaviest and the rules are written down. Each industry has a deep bench of Filipino talent and a licensed credential that must sign off.
Tax preparation
Individual and business returns, amendments, notices and payment plans, checked line by line.
Signed off byA licensed tax preparer, such as a US CPA or enrolled agent, signs as the preparer of record.
Medical billing and coding
Coding checks, claim submission, denials and payer appeals, worked until the payer pays.
Signed off byA certified medical coder approves before anything is submitted.
Insurance claims and underwriting
First notice, evidence gathering, coverage checks, underwriting files and follow-up until the claim is settled.
Signed off byAn adjuster or underwriter licensed in your jurisdiction decides.
Next, on the same platform
- Bookkeeping and accounting
- Prior authorization and utilization review
- Mortgage and loan processing
- Legal support and immigration paperwork
- Payroll, HR and benefits administration
- KYC, AML and financial compliance
- Logistics, freight and customs
How every job runs
Every job starts with a written definition of done. Your side acts three times: to set the goal, to approve, and to accept. Everything between is led by the job lead and backed by AI specialists. If plans change, we replan the remaining steps. We never quietly lower the bar or widen anyone's authority.
| Seven steps, every job | YouSet the goal, approve the action, accept the result. | Licensed reviewerSigns wherever the law in your country requires a license. | Job leadLeads the job from the first goal to the lesson learned. | AI specialistsResearch, draft, check rules and fill in forms. | ||
|---|---|---|---|---|---|---|
| 1 | Set goal | Write down what done means: the result, budget, deadline, risk limits and an accountable owner. | Acts | Not involved | Acts | Not involved |
| 2 | Plan | Choose the mix of people and AI workers that can meet that definition of done. | Not involved | Not involved | Acts | Acts |
| 3 | Rehearse | Run the plan on sample data first, so problems show up before real work starts. | Not involved | Not involved | Acts | Acts |
| 4 | Approve | A named person approves one exact action, amount and deadline. Whoever proposed the work never approves it. | Acts | Not involved | Not involved | Not involved |
| 5 | Do the work | People lead the job. AI specialists research, draft, check rules and fill in forms. | Not involved | Not involved | Acts | Acts |
| 6 | Verify | The named checker compares the result with the definition of done. An AI saying “done” is never proof. | Acts | Acts | Not involved | Not involved |
| 7 | Learn | What worked becomes the new standard, through test, trial and rollout, with rollback. | Not involved | Not involved | Acts | Acts |
- 1
Set goal
Write down what done means: the result, budget, deadline, risk limits and an accountable owner.
YouJob lead
- 2
Plan
Choose the mix of people and AI workers that can meet that definition of done.
Job leadAI specialists
- 3
Rehearse
Run the plan on sample data first, so problems show up before real work starts.
Job leadAI specialists
- 4
Approve
A named person approves one exact action, amount and deadline. Whoever proposed the work never approves it.
You
- 5
Do the work
People lead the job. AI specialists research, draft, check rules and fill in forms.
Job leadAI specialists
- 6
Verify
The named checker compares the result with the definition of done. An AI saying “done” is never proof.
YouLicensed reviewer
- 7
Learn
What worked becomes the new standard, through test, trial and rollout, with rollback.
Job leadAI specialists
Questions clients ask us
Are you a software company or a services company?
Both, on one platform. The Control Center is the software, and you can run it yourself under your own brand. Our expert teams in the Philippines work in the same Control Center for you. Where done is easy to define, we also offer outcome-based managed services and engineering. Compare the options
Do your teams really work our hours?
Yes. Job leads work your business day, wherever you are. For US and European clients that is the night shift in the Philippines; for Australia, Japan and Singapore it is nearly the same day. Each job shows who has it and what happens next, so nothing waits on a call.
Who is responsible if the work is wrong?
Every job names a checker on your side, and a professional licensed in your country signs wherever the law requires a license. Our job leads never sign in their place, and nothing counts as done until your checker accepts it.
How is our data protected?
Job leads work inside the workspace on managed office machines. Before any data moves, we sign the agreements your industry requires, such as a HIPAA business associate agreement. How we handle data
What does it cost?
The software is self-hosted with no mandatory license fees; support and industry packs are priced separately. Teams and outcome-based services are priced per engagement, once we know your job types and monthly volume.
When can we start?
We are pre-launch and building toward 2027. Talk to us now to plan a first team or a platform pilot for your industry, and the sign-offs it needs.
Bring us the work that waits too long
Claims, returns, month-end closes, loan files, authorizations, filings. Tell us the industry, how much of it you handle each month and who signs off today. We will tell you honestly whether the software, a Philippine team or an outcome-based service fits.