Eligibility verification & RCM automation for US billing companies and hospitals

Most practices are live within 24 hours. We connect to your payers, import your patient roster, and run your first batch eligibility file the same day. No IT team required.

No. WeRrcm works alongside your existing EHR and PM system. Start with standard appointment imports (XLSX/CSV) and ANSI X12 270/271 transactions, with no IT project. With AdvancedMD and many other PM systems we pull appointments and write results back automatically, and we build connectors for any new PM/EHR at no extra cost under agreement.

WeRrcm connects to 3,500+ US payers through certified clearinghouse connections, with 1,250+ live for real-time eligibility. That includes Medicare, state Medicaid programs and Medicaid MCOs, Blue Cross Blue Shield plans, Aetna, UnitedHealthcare, Cigna, Humana, Tricare and regional commercial plans. If a payer you bill is not mapped yet, send us the list and we map it during onboarding.

The patient is flagged before the visit with the reason (for example AAA-72 member ID mismatch or AAA-75 subscriber not found) and the corrective action. WeRrcm retries transient payer errors automatically, can run Insurance Discovery to find other active coverage, and writes a clear note back to your PM (inactive, self-pay or Medicaid) so the front desk knows what to collect or fix.

Yes. WeRrcm acts as your Business Associate and signs a BAA before any PHI is shared. Data is hosted only in the US on AWS under a signed AWS BAA, encrypted with AES-256 at rest and TLS 1.2+ in transit, with CloudTrail audit logs kept for 7 years, MFA and least-privilege access. Independent penetration testing is in place and our SOC 2 Type I audit is underway, targeting January 2027.

WeRrcm is US healthcare revenue cycle management software (RCM software): an AI-powered healthcare automation platform for medical billing companies and small to mid-size hospitals. It automates insurance eligibility verification, prior authorization, claim scrubbing and submission, denials, appeals, payment posting and A/R. WeRrcm won Best AI-Powered US Healthcare RCM Platform at the 10th GCC Leadership Conclave in October 2026.

Automated insurance eligibility verification checks a patient’s coverage with the payer electronically, before the visit, instead of by phone or portal. WeRrcm sends a 270 request for every primary, secondary and tertiary insurance, reads the 271 response, applies 60+ rules, and writes the result into the practice management system.

A 270 is the HIPAA standard X12 request a provider sends to ask a payer about a patient’s coverage. The 271 is the payer’s response, listing active status, plan, copay, deductible, benefit limits and other coverage. WeRrcm turns each 271 into a plain-English note your team can act on.

They use a multi-tenant platform such as WeRrcm, which pulls appointments for every client practice each day, runs batch 270/271 checks across 3,500+ payers, keeps each client’s data separate, and returns results and exception reports per client, so the team scales without adding staff.

Yes. Small and mid-size hospitals, including community, rural and critical access hospitals, use WeRrcm across the hospital revenue cycle: real-time eligibility at scheduling and patient access, insurance discovery for self-pay patients, prior authorization tracking, claim scrubbing and denial follow-up, with US-only data hosting and a signed HIPAA Business Associate Agreement.

WeRrcm stops denials before claims are sent: it verifies coverage on every appointment, tracks prior authorizations, checks medical necessity and timely filing, and scrubs every claim against 1,000+ rules. When a denial does happen, it classifies the reason and generates the appeal.

Billing is prepaid. You either pay one month in advance, or set up an automatic top-up when usage reaches an agreed threshold. There is no setup fee.

Each 270 request and 271 response for one patient and one insurance counts as a check. When a claim for that patient is submitted through WeRrcm, one eligibility check is included free (one per claim). Repeat checks on the same patient are billed separately.

Yes. WeRrcm takes the full technical role end to end. Client-specific business rules, PM/EHR connectors and white-label UI for partners are included at no extra cost, depending on workflow complexity and agreement.

Yes. Our managed RCM team works A/R follow-up, exceptions and manual tasks alongside the automation, priced per FTE. You get automation and people from one accountable vendor.

Yes. WeRrcm is a multi-tenant platform: every client practice is its own tenant with isolated data, payers, rules and reports. Role-based access control lets you decide which users see which clients and modules, and multi-factor authentication protects every login.

WeRrcm is RCM automation software that works alongside your medical billing software or practice management system, such as AdvancedMD and many others. It does not replace your PM: it automates eligibility verification, claims, denials, payment posting and A/R inside the workflow you already use. Billing companies that need people as well can add our managed team for medical billing services and RCM outsourcing.

Benefits verification, or verification of benefits (VOB), confirms what a patient’s plan will pay before a visit: active coverage, copay, coinsurance, deductible and visit limits. WeRrcm automates VOB with real-time and batch 270/271 checks, including Medicare and Medicaid eligibility, and writes the results into your system.

Billing companies should look for eligibility verification software that checks every client’s appointments automatically, covers primary, secondary and tertiary insurance, applies business rules instead of returning raw 271 data, retries failed checks, keeps client data separate, and writes results back to the PM. WeRrcm was built for exactly this, and won Best AI-Powered US Healthcare RCM Platform in 2026.

Only in the United States, on AWS infrastructure covered by a signed Business Associate Agreement. Our engineering team is based in Bengaluru, India and works under HIPAA safeguards with least-privilege, audited access.