Billing Worker
COMING SOON
AI for revenue cycle management
We are building an AI Billing Worker to help manage the financial work behind fertility care, from checking funding requirements and preparing invoices or claims to following up, recording payments and reconciling balances.
For patient-funded care, insurers, public funding and employer benefits, the goal is one connected revenue workflow with clear visibility into what needs to happen next.
The revenue journey · Maya Okafor · Cycle 2
Development concept · synthetic data
1
Funding
Insurer 70% · patient 30%
Authorisation needed
2
Treatment activity
Egg collection, ICSI and culture
Delivered 24.09
3
Invoice or claim
Claim €2,135 · invoice €915
Prepared for review
4
Payment
Remittance and card payment
Awaiting
5
Reconciliation
Expected against received
—
Different funders. One financial journey.
A treatment journey can involve several sources of funding, each with its own requirements.
The Billing Worker’s direction is to help teams organise that complexity: understand the funding arrangement, identify required information and keep the patient’s responsibility connected to the wider financial picture.
Patients paying directly
Packages, staged payments and storage fees.
Private insurers
Coverage, authorisations, claims and remittances.
Public funding
Reimbursement programmes and their eligibility rules.
Employer benefits
Employer benefits and other third-party funders.
Requirements and connections vary by market and funder. Deployment scope will reflect the arrangements your clinic uses.
01
Before treatment
02
Charge capture & billing
03
Follow-up & exceptions
04
Payments & reconciliation
Bring funding requirements into the plan.
Prepare the financial workflow before care is delivered. We are developing support for checking coverage and funding information, identifying authorisation requirements and preparing the documentation needed for the next financial step.
Connect that work to treatment quotes, packages and the amounts the patient is expected to pay.
Illustrative tasks
Review funding and coverage information
Identify missing details or approvals
Prepare supporting documentation
Clarify patient and funder responsibilities
Funding check · ICSI cycle package
Development concept
Insurer coverage
Private insurer
Policy details received
Checked
Prior authorisation
Private insurer
Required before stimulation
Missing
Employer benefit
Employer fund
Balance confirmation pending
Requested
Patient responsibility
Patient
€1,200.00 estimated
To share
Prepared for the billing team: request prior authorisation
Review
Accurate billing depends on understanding what was planned, what was delivered, who is responsible for payment and what has already been collected.
wawa connects treatment workflows, patient information, fee schedules, invoices and payments within the same operating system. That foundation gives the Billing Worker a path to support the revenue cycle with the context behind each financial task.
What was planned?
Treatment plan & quote
What was delivered?
Clinical & lab activity
At what price?
Fee schedules
Who pays?
Funding arrangement
What was billed?
Invoices & claims
What was collected?
Payments & remittances
Visibility & control
Our aim is to give billing teams a clear view of the work ahead: unbilled activity, outstanding invoices, unresolved claims and reconciliation exceptions, so they can prioritise follow-up and see where the financial journey is slowing down.
Revenue work queue · by next action
Development concept · synthetic data
Item
Funder
Next action
Responsible
Prepared by
Unbilled activity
Priya Nair · monitoring scan
Patient
Prepare invoice
Billing team
Worker
Prior authorisation
Maya Okafor · Cycle 2
Private insurer
Request approval
Billing team
Worker
Rejected claim
Daniel Cohen · FET
Private insurer
Add clarification
Billing team
Worker
Underpayment
Lena Hoffmann · stimulation
Private insurer
Review difference
Finance lead
Worker
Unpaid invoice
Hannah Lee · storage
Patient
Send reminder
Billing team
Worker
Missing referral
Amara Osei · IVF
Public funding
Request document
Coordinator
Worker
We will work with clinics to understand their funders, billing rules, integrations and review requirements. The scope will define which tasks the worker can perform, which it prepares for approval and which remain with the billing team or specialist partner.
Agreed in scope
Tasks the worker performs
Defined, routine steps within the rules your clinic agrees.
Prepared for approval
Work your team reviews
Prepared by the worker, approved by a person before it moves on.
Remains with people
Your billing team or partner
Decisions and work that stay with the people responsible.
Help shape the next generation of fertility billing.
Tell us how your clinic manages patient payments, funding and reimbursement, and where your team spends the most time getting from care delivered to payment received.