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AI Cost Estimation
Pre-Visit
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AI Cost Estimation

Predict patient responsibility before care — with financial precision.

Collectly generates accurate patient responsibility estimates by combining eligibility data, contracted payer rates, and benefit rules. By applying real payer data to planned procedures, organizations can confidently collect before the visit and eliminate billing surprises. Increase upfront collections and eliminate billing surprises.

Estimate Accuracy

Using real payer data and contracted rates

Increase Upfront Collections

Collect patient responsibility before care

Automated Good Faith Estimates

Meet No Surprises Act requirements

Eliminate Billing 
Surprises

Accurate patient responsibility before care

The Problem

Sound familiar? These are the challenges our customers faced before Collectly

Staff rely on outdated fee schedules and spreadsheets to estimate patient costs
Billing surprises lead to patient dissatisfaction and delayed payment
Inaccurate estimates reduce point-of-service collections
Eligibility alone does not provide complete patient responsibility
Before & After

See How Collectly Transforms Your Workflow

Before

Staff manually calculate estimates using outdated fee schedules
Coinsurance and deductibles guessed — not modeled
Billing corrections and refunds processed after the visit
Patients surprised by amounts they weren't told about

After

Patient responsibility estimated automatically before the visit
Estimates reflect contracted payer rates and benefit rules
Good Faith Estimates generated automatically
Staff no longer rely on spreadsheets or manual calculations
Key Capabilities

AI Cost Estimation Capabilities

Accurate Patient Responsibility Estimates

Combines eligibility, payer contracted rates, and benefit rules to determine expected patient responsibility.

Contracted Rate Intelligence

Collectly maintains payer-specific allowed amount intelligence to improve estimate accuracy beyond internal fee schedules.

Procedure-Level Estimate Generation

Applies coverage and contracted rates to scheduled procedures to generate accurate estimates before care.

Good Faith Estimate Automation

Automatically generate compliant patient estimates to meet No Surprises Act requirements.

Estimate Across Copays, Deductibles, 
and Coinsurance

Apply full benefit structure to generate a complete estimate of patient responsibility.

INTELLIGENT ORCHESTRATION

Move Beyond Fee Schedule Estimates

Most estimate tools rely on outdated internal fee schedules. Collectly combines payer contracted rates, eligibility, and benefit logic to generate far more accurate patient responsibility estimates.

Related Products

These products work great together with AI Cost Estimation

See AI Cost Estimation in Action

Learn how Collectly can transform your pre-visit operations.

See Your AI RCM Agent in Action

Get a personalized demo tailored to your organization's needs. See exactly how our AI Agent can transform your revenue cycle.

See your potential collection increase

Personalized demo of AI Agent skills

Integration roadmap for your EHR

ROI analysis for your practice

30-minute personalized demo

We'll show you exactly how Collectly can work for your specific workflows and give you a clear picture of the ROI you can expect.

Book Your Demo

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