Less Time on Calls. More Revenue Collected.

Operator Labs is the execution layer for phone-based healthcare A/R — AI voice agents that call payers, navigate phone trees, wait on hold, engage representatives, and document structured outcomes, all within your existing workflows, compliance framework, and system of record.

Book a Demo
Operator Labs — Revenue Cycle Automation
Live Queue
Every payer call — handled
AI agents dial payers, navigate IVRs, wait on hold, and document structured outcomes around the clock.
2,847
Calls completed today
▲ 23% vs yesterday
1,247 hrs
Hold time eliminated
▲ 31% lift
3.2x
Team productivity
↑ same headcount
UnitedHealthcare
Claim #UHC-8821 · Denial appeal
On call
2:14
Aetna
Prior auth #PA-4492 · Status check
On hold
7:38
Blue Cross Blue Shield
Claim #BCB-1190 · Reprocessing
On call
0:51
Cigna
Eligibility · $3,400 confirmed
Complete
—
Humana
Claim #HUM-0340 · Timely filing
On hold
11:07
Medicare
Claim #MCR-7712 · Payment status
Queued
—
Medicaid
Claim #MCD-5503 · CO-45 denial
On call
3:29
Blue Cross Blue Shield
PA batch #BCBS-2291 · 14 items
Queued
—
Performance
Revenue your team was writing off
4–6% of net patient revenue recovered from claims that aged out before your team could reach them.
86%
First-call resolution rate
↑ industry avg 62%
4–6 wks
Time to go live
No rip-and-replace
4.2%
Human escalation rate
Routed with full context
0
Calls completed today
▲ 23%
$0
Revenue recovered (MTD)
▲ 18%
0 hrs
Hold time eliminated
▲ 31%
0x
Team productivity
↑ same headcount
Revenue recovered — last 30 daysMTD $847K
$40K $28K $16K Feb 1 Feb 10 Feb 20 Today
Calls completed — by hourToday
Live Transcript
A real call with a real payer — right now
The agent navigates the IVR, reaches a rep, argues the case, and logs everything. No human on hold.
PayerUnitedHealthcare
Claim#UHC-8821
Denial codeCO-97
ActionFormal appeal
Hold handled14 min 22 sec
Status● On call
Agent 04 · UnitedHealthcare · Claim #UHC-8821
On call · 2:14
AG
Agent
Hi, I'm calling on behalf of Riverside Medical Group regarding claim number UHC-8821, date of service March 3rd, for patient James D.
UH
UnitedHealthcare
One moment while I pull that up… okay, I'm showing that claim was denied — reason code CO-97.
AG
Agent
Understood. We'd like to submit a formal appeal. The service was medically necessary per the attached clinical notes. Can you confirm the appeal fax number and submission deadline?
UH
UnitedHealthcare
Outcomes
Structured results written back automatically
Every call closes with a logged outcome routed to your system of record.
0%
Resolution rate
0
Accounts worked today
0%
Human escalation rate
Routed with context
✓
Denial reversed · Aetna
CO-4 appeal · #AET-3301
$12,400
Reversed
↻
Reprocessing · BCBS
Coding corrected · #BCB-0921
$8,750
Reprocessing
✓
PA approved · Cigna
Auth #CIG-9941 · 90 days
$31,200
Approved
!
Escalation · UHC
Routed with full context
→ Human review
Escalated
Revenue recovered by payer — MTD$847K total
UnitedHealthcare$241K
Aetna$189K
Blue Cross Blue Shield$162K
Cigna$134K
Humana$121K
Outcome distributionLast 60 min
86% resolved
Reversed / Approved
70%
Reprocessing
16%
Escalated
4.2%
Pending
9.8%
Feb 1 Feb 5 Feb 10 Feb 15 Feb 20 Feb 25 Today
2,847
Calls today
1,247h
Hold eliminated
3.2×
Productivity
Active now
UnitedHealthcare
Claim #UHC-8821 · Denial appeal
On call
2:14
Aetna
Prior auth #PA-4492 · Status check
On hold
7:38
Blue Cross Blue Shield
Claim #BCB-1190 · Reprocessing
On call
0:51
Cigna
Eligibility · $3,400 confirmed
Complete
—
Humana
Claim #HUM-0340 · Timely filing
On hold
11:07
Medicare
Claim #MCR-7712 · Payment status
Queued
—
Medicaid
Claim #MCD-5503 · CO-45 denial
On call
3:29
Blue Cross Blue Shield
PA batch #KP-2291 · 14 items
Queued
—
$847K
Revenue recovered (MTD)
▲ 18% vs last month
💰
0
Calls today
▲ 23%
0 hrs
Hold eliminated
▲ 31%
0×
Team productivity
↑ same headcount
86%
First-call resolution
↑ vs 62% avg
Revenue recovered — FebMTD $847K
$40K $24K Feb 1 Feb 14 Today
Calls by hourToday
Payer
UnitedHealthcare
Claim
#UHC-8821
Denial code
CO-97
Hold handled
14m 22s
Action
Formal appeal in progress
2:14
Agent 04 · UHC · #UHC-8821
On call
AG
Agent
Hi, calling on behalf of Riverside Medical Group regarding claim #UHC-8821, DOS March 3rd, patient James D.
UH
UnitedHealthcare
One moment… I'm showing that claim was denied — reason code CO-97.
AG
Agent
We'd like to submit a formal appeal. The service was medically necessary per attached clinical notes. Can you confirm the appeal fax number and deadline?
UH
UnitedHealthcare
Resolution rate
0%
Accounts today
0
86%
1st-call resolved
0%
Escalated
4–6w
Time to live
Recent outcomes
✓
Denial reversed · Aetna
CO-4 appeal · #AET-3301
$12,400
Reversed
↻
Reprocessing · BCBS
Coding corrected · #BCB-0921
$8,750
Reprocessing
✓
PA approved · Cigna
Auth #CIG-9941 · 90 days
$31,200
Approved
!
Escalation · UHC
Routed with full context
→ Human
Escalated
Outcome distributionLast 60 min
86% resolved
Reversed/Approved
70%
Reprocessing
16%
Escalated
4.2%
Pending
9.8%

Trusted by healthcare organizations to call payers, every day.

Experience

Every hour on hold is revenue slipping away.

SC
Sarah Chen
VP Revenue Cycle • 2:34 PM
Team — we're writing off $2.3M this quarter in claims that aged out. We just couldn't get to them in time. I need solutions.
Aetna Denial Batch #4821
Appeal window expired • $341,000
Written Off
75%
Of AR specialist time spent on non-revenue-generating work
40–55%
Wasted waiting on hold and navigating phone trees
4–6%
Of net patient revenue lost to timing and capacity constraints

We act on your team's pipeline when internal capacity falls short.

Our AI voice agents don't just assist with calls—they make them, navigate them, and close them, with full documentation and follow-up included.

Action

AI Agent in Action

Revenue recovered. Team capacity multiplied.

Not incremental improvement. Transformational results—without adding headcount.

4-6%
Revenue Recovered
We work every account before deadlines hit. No more write-offs from missed timely filing or appeal windows.
3x
Team Productivity
Your AR specialists spend 25% on recovery. We make it 70%. Same headcount, triple the output.
24/7
Coverage
Our AI agents handle hold times and phone trees around the clock—without burnout or turnover.
0
Hiring Headaches
Add capacity instantly without recruiting, training, or managing 25-35% annual turnover.

How It Works

From deployment to recovery in weeks

Not a 12-month implementation. Not a rip-and-replace. A targeted solution that delivers fast.

1

Connect your systems

We integrate with your EHR, PM system, or RCM platform. Pull worklists, read account context, write outcomes back.

2

We make the calls

Our AI voice agent dials payers, navigates IVRs, waits on hold, talks to reps, and documents structured outcomes.

3

Your team acts on results

Outcomes flow to your system of record. Your staff focuses on complex cases, not routine status calls and hold queues.

WHAT MAKES US DIFFERENT

The system of action. Not another platform

RCM software tracks what needs to happen. We do it. We're the execution layer for your existing systems—not a replacement.

01 AI Voice Agents

We don't analyze your calls. We make them.

  • Dials payer lines and navigates phone trees
  • Waits on hold for as long as it takes
  • Speaks to reps and captures the outcome
  • Your staff never touches the phone
Operator Labs — Revenue Command Center LIVE All Agents In Progress Completed Escalated PAYER TASK CLAIM STATUS HOLD UHC UnitedHealthcare (650) 772-5800 Denial Appeal CO-97 · Submitted 03/15 #UHC-8821 On Call 2:14 AET Aetna (800) 872-3862 Prior Authorization Orthopedic · #PA-4492 #AET-3301 On Hold 7:38 BCBS Blue Cross Blue Shield (800) 262-2583 Reprocessing Req. Coding corrected · #BCB-1190 #BCB-0921 On Call 0:51 HUM Humana (800) 444-9137 Timely Filing DOS 02/28 · #HUM-0340 #HUM-0340 On Hold 11:07 CIG Cigna (800) 997-1654 Eligibility Batch 34 items · Queued Batch-Mar-15 Queued MCR Medicare (800) 633-4227 Payment Status #MCR-7712 Queued Agent Queue — Live 4 active agents · 2 on call · 2 on hold · 2 queued LIVE UHC UnitedHealthcare #UHC-8821 · Denial appeal · CO-97 · $14,200 On Call 2:14 LIVE TRANSCRIPT · AGENT 04 — UHC CALL Agent "Calling on behalf of Riverside Medical regarding claim #UHC-8821, date of service March 3rd. We'd like to submit a formal appeal..." Payer "One moment — I'm showing that claim denied CO-97. Let me pull the appeal fax..."
02 Hold Time Elimination

Zero hold-time waste.

  • AR teams spend 40–55% of each call waiting
  • Our agents wait for free — no billing the clock
  • No turnover, no training cycles, no gaps
AR Staff Time Analysis — Mar 2025 ON HOLD 47% IVR NAV 10% ACTIVE WORK 43% COST SAVINGS/MO $58,400 Human AR Specialist · per call 47% on hold · $0 value IVR active work Operator Labs AI Agent · per call $0 hold cost 3× more calls Hold time by payer · this month UnitedHealthcare 312 hrs saved $14,976 avg 18.4 min/call Aetna 241 hrs saved $11,568 avg 14.2 min/call BCBS · Humana · Cigna 694 hrs saved $33,312 combined HOLD TIME ANALYSIS · MARCH 2025 1,247 hrs eliminated this month Human AR staff $48/hr avg cost 47% on hold IVR active work Operator Labs AI agent $0 hold cost $0 · holds free 3× more calls worked MONTHLY SAVINGS $58,400 recovered from hold-time waste · Same headcount
03 Patient Financial Outreach

Conversations that handle objections.

  • Handles objections, not just FAQs
  • Negotiates payment plans in real conversation
  • Escalates when human judgment is required
Patient Queue 24 today James D. $1,240 · Acct #RMS-44821 In progress Maria R. $3,400 · Acct #GHN-11204 Queued Robert K. $780 · Acct #RMS-30012 Queued Linda P. $2,100 · Acct #MVC-88210 Queued Thomas W. $640 · Acct #RMS-29944 Susan M. $5,280 · Acct #NWH-10042 OL Patient Financial · Live James D. · Balance $1,240 · Acct #RMS-44821 · DOS 02/14/25 BALANCE $1,240.00 Riverside Medical · DOS 02/14/25 INSURANCE Aetna PPO · Deductible met · Copay $40 Hi James, calling about your balance of $1,240 from Riverside Medical. AI Agent · 0:08 I can't pay that all at once. Patient · 0:15 I can offer $207/mo × 6 months, or $124/mo × 10 months. Which works? AI Agent · 0:23 $207 a month works for me. Patient · 0:30 OUTCOME LOGGED Plan agreed · $207/mo × 6 months Written to Epic · Billing scheduled · No staff action needed
04 Workload Distribution

Augment your team. Keep control.

  • Works alongside your existing staff
  • Your team keeps the judgment calls
  • No outsourcing contract, no loss of oversight
Workload Distribution — March 2025 AI HANDLED 78% CALLS WORKED 2,847 TEAM SIZE Unchanged 0 new hires needed PRODUCTIVITY 3× 78% AI-handled AI Agents — 78% workload Routine payer calls IVR navigation Hold time management Documentation & logging Your Team — 22% workload Complex denials & appeals Clinical edits & escalations Patient judgment calls Supervisory review Workload Distribution · March 2025 78% handled by AI AI agents Routine payer calls IVR navigation & hold time Documentation & logging Eligibility & status checks Your team Complex denials Appeals & escalations Clinical edits Patient judgment calls Same headcount · Zero new hires · 3× throughput
05 Call Intelligence

Execution, not observation.

  • RCM software shows what's pending — we clear it
  • Full audit trail logged into your system of record
  • Every call documented, every outcome captured
Claims Worklist — Mar 2025 CLAIM ID PAYER AMOUNT STATUS OUTCOME #AET-3301 03/15/25 Aetna $12,400 Resolved Denial reversed CO-4 appeal accepted #BCB-0921 03/14/25 BCBS $8,750 Pending Reprocessing Coding corrected #CIG-9941 03/13/25 Cigna $31,200 Resolved PA approved Auth valid 90 days #UHC-8821 03/12/25 UHC $14,200 Escalated Human review Supervisor req. #HUM-2204 03/11/25 Humana $9,800 Resolved Timely filing Accepted #MCR-5519 03/10/25 Medicare $5,600 Pending Claim submitted #KP-4401 Blue Cross Blue Shield $22,000 Resolved OL Call Intelligence AI-generated · Claim #AET-3301 · Mar 15 ✕ CALL SUMMARY Spoke with Aetna rep. CO-4 denial (duplicate claim) — formal appeal submitted. Rep confirmed receipt and fax number. Decision expected within 30 calendar days. EXTRACTED DATA APPEAL REF AET-APP-02291 DECISION 30 days EHR STATUS Logged → Epic OUTCOME Denial reversed — $12,400 recovering. Appeal on file. NEXT STEP → Follow up Apr 15 if no payment received Reminder auto-scheduled · No manual action needed Logged to Epic · Call recording available · Full transcript saved

Built for teams that need results now

From PE-backed platforms to rural hospitals fighting to survive.

Rural & Critical Access Hospitals

600+ at risk of closure—not because of care quality, but because revenue is stuck in payer follow-ups they can't staff. We make the calls they can't make.

Specialty Consolidators

Ortho, GI, cardio, derm—margin-focused groups that need operational leverage. $100M-$500M revenue.

Regional Health Systems

Big enough to feel the pain. Fast enough to act on it. In-house billing operations. $300M-$2B revenue.

PE-Backed Healthcare Platforms

Deploy across your portfolio. Lift EBITDA without adding headcount. $150M-$800M revenue.

Results

Operator Labs customers recover revenue they were writing off

Jennifer Martinez
VP Revenue Cycle, Regional Health System
“We recovered $847K in 90 days from claims we'd already given up on. The ROI was obvious within the first month.”
Trust

Built to survive your compliance review.

GDPR
GDPR
SOC 2
SOC 2
HIPAA
HIPAA
ISO/IEC 27001
ISO/IEC 27001
TCPA
TCPA
REG F
REG F
Get Started

See what Operator Labs could recover for your organization.