RCM.
The full cycle, worked overnight.
End-to-end revenue cycle management — eligibility verification, charge capture, claim submission, payment posting, denial appeals, patient-pay collection, and reporting. The work that normally takes a four-person billing team runs while the clinic is closed.
Most clinics run revenue cycle as a relay race across a billing team — eligibility checks Monday, charges entered Tuesday, claims submitted Wednesday, denials worked Thursday, patient statements Friday. Spriggan runs the whole loop continuously, in the background, on every visit.
Denials are where the leakage is. The average clinic recovers maybe 30% of denied dollars, mostly because no one wants to do the work — read the EOB, decode the cause code, find the SOAP and the LCD policy, write the letter, re-submit. Spriggan does that every night and recovers 78% within 30 days.
Patient-pay closes the loop. Outstanding balances get reached out on the channel each patient actually answers — voice for older cohorts, SMS for everyone else, email when there’s a balance worth context — with in-message payment links and auto-offered payment plans above your threshold.
Cause-code reporting is where it earns its keep. By week three you know which payer is rejecting which CPT for which reason, and your front-end edits can fix it before the next claim leaves the building.