Built for Healthcare Operations

Stop losing providers to credentialing backlogs

Provider credentialing, claims status checks, prior authorizations, benefits verification — Champ AI automates the backoffice workflows that consume your operations team so they can focus on what matters: getting providers seeing patients faster.

We'll build your first workflow for free — and keep iterating until we outperform human accuracy and speed.

The Healthcare Admin Crisis

Your operations team is drowning in portal work

Healthcare operations teams spend most of their day logging into payer portals, copying data between systems, chasing claim statuses, and manually verifying credentials. This work is critical — but it doesn't require human judgment. It requires human patience. And you're running out of both.

$280B+
wasted annually on U.S. healthcare admin
McKinsey & Company
89 days
average time to credential a new provider
MGMA Stat
34%
of practice revenue lost to admin inefficiency
CAQH Index
17 min
average prior auth phone hold time per case
AMA Survey

The compounding problem: Every day a provider isn't credentialed is a day they can't see patients and generate revenue. Every claim that sits unchecked is revenue stuck in limbo. Every prior auth that waits is a patient who waits. Healthcare operations teams are the bottleneck between providers and patients — not because they're slow, but because the work is impossibly manual.

Use Cases

Purpose-built for healthcare operations

From credentialing to claims, Champ automates the portal-heavy workflows that consume the most time, cost the most money, and create the biggest bottlenecks.

Provider Credentialing & Verification

Champ agents navigate CAQH ProView, NPPES, state licensing boards, DEA, and payer portals to verify credentials, track expirations, submit applications, and follow up — across every provider in your network, simultaneously.

CAQH ProViewNPPES / NPIState license boardsPrimary source verification

Claims Status Checks & Follow-ups

Automatically check claim status across Availity, Navinet, and payer-specific portals. Champ identifies denials, flags trends, and initiates follow-up actions — turning a weekly backlog into a real-time operation.

AvailityNavinetPayer portalsDenial management

Prior Authorization Processing

Submit prior auth requests, attach clinical documentation, and track approval status across payer systems. Champ handles the portal navigation and hold times so your staff can focus on clinical support.

Auth submissionsClinical doc attachmentStatus trackingAppeal filing

Benefits Verification & Eligibility

Verify patient eligibility, benefits, copays, and deductibles across payer portals before appointments. Automate the repetitive lookups that consume your front-office and intake teams.

Eligibility checksBenefits breakdownCopay verificationCoverage validation

Provider Enrollment & Re-enrollment

Automate the end-to-end provider enrollment process — from initial application to re-enrollment. Champ manages payer-specific forms, tracks submission deadlines, and ensures nothing falls through the cracks.

Payer enrollmentRe-credentialingDeadline trackingApplication status

Referral & Authorization Management

Process inbound referrals, verify authorization requirements, submit requests, and track approvals across multiple payers. Eliminate the phone tag and fax chasing that slows patient access.

Referral processingAuth requirementsMulti-payer trackingPatient access
How It Works

Browser automation + AI agents

Champ combines intelligent AI with real browser automation to navigate the same payer portals, licensing boards, and systems your team uses every day.

Step 01

We learn your workflows

Share your credentialing SOPs, claims processes, or walk us through your portal workflows. We map your operations into AI-ready automations.

Step 02

AI agents navigate your portals

Our agents use browser automation to log into CAQH, Availity, payer portals, and state boards — executing multi-step tasks exactly as your best team member would.

Step 03

Shadow mode validation

Every workflow runs in shadow mode first, processing real work alongside your team. We iterate until accuracy exceeds human benchmarks — typically 95%+ within the first week.

Step 04

Go live & scale

Once validated, flip the switch. Champ handles the volume — whether that's 50 providers or 5,000 — while your team reviews edge cases and focuses on high-value work.

Who It's For

Built for teams that can't hire fast enough

Whether you're a telehealth startup scaling to 50 states or an MSO managing thousands of providers, Champ gives your operations team superhuman capacity.

Telehealth & Virtual Care Platforms

Growing fast and onboarding providers in dozens of states? Champ handles multi-state credentialing and payer enrollment at scale — so your growth isn't bottlenecked by your ops team's headcount.

Mental & Behavioral Health Groups

Therapy platforms managing hundreds of clinicians need credentialing, re-credentialing, and payer enrollment to run like clockwork. Champ makes it automatic.

Medical Groups & MSOs

Multi-specialty groups and management services organizations juggling claims, prior auths, and provider admin across locations. Champ scales your ops without scaling your team.

Revenue Cycle & Credentialing Firms

Outsourced credentialing and RCM firms that need to do more with less. Champ multiplies your team's throughput so you can take on more clients without more hires.

Results

Measurable impact from day one

3-5x
ROI on operations spend

Clients see return within the first quarter as manual portal work is replaced with AI-driven automation.

80%
Reduction in credentialing cycle time

What used to take 90+ days now closes in weeks. Providers see patients faster, revenue flows sooner.

95%+
Accuracy in shadow mode

We validate every workflow against your team's output before going live. No guesswork, no rework.

Weeks
Not months to go live

Our fastest healthcare deployments ship in days. Most workflows are live within 2-4 weeks.

Security & Compliance

Healthcare-grade security, built in

We handle PHI and sensitive provider data with the care it demands. Security and HIPAA compliance aren't add-ons — they're foundational.

HIPAA Compliant

Full HIPAA compliance with Business Associate Agreements (BAAs) for every healthcare client. PHI is handled with the care it demands — encrypted, scoped, and never persisted beyond processing.

SOC 2 Type II Certified

Our infrastructure and processes are independently audited to meet the highest standards for security, availability, and confidentiality.

Zero data persistence

Champ processes data in real-time and does not store PHI or sensitive patient information. Your data stays in your systems — we just navigate them.

Perspective

The healthcare operations inflection point

Healthcare organizations are caught in a vice. Patient volumes are rising. Payer requirements are getting more complex. And the labor market for credentialing specialists, claims analysts, and auth coordinators has never been tighter.

The traditional playbook — hire more people, add more spreadsheets, buy another point solution — doesn't scale. A credentialing coordinator can manage 80-120 providers at best. A claims follow-up specialist can check 40-60 claims per day. When you're growing by hundreds of providers per quarter, the math doesn't work.

This is why the fastest-growing healthcare companies are rethinking operations from the ground up.

They're not replacing their operations teams — they're augmenting them with AI agents that handle the portal work, the data entry, the status checks, and the follow-ups. The result: the same team handles 3-5x the volume, providers get credentialed in weeks instead of months, and claims don't sit in limbo.

FAQ

Common questions

Champ AI agents navigate CAQH ProView, NPPES, state licensing boards, and payer portals to verify provider credentials, track expiration dates, and submit re-credentialing applications. The agents handle primary source verification, monitor status updates across all portals, and flag discrepancies — replacing hundreds of hours of manual portal work per month.

Yes. Champ AI maintains full HIPAA compliance with Business Associate Agreements (BAAs) for all healthcare clients. We encrypt all data at rest (AES-256) and in transit (TLS 1.3), do not persist PHI beyond processing, and maintain SOC 2 Type II certification. Our infrastructure is designed for healthcare from the ground up.

Traditional RPA uses brittle scripts that break when payer portals change their UI — a constant problem in healthcare. Champ uses AI agents that understand context, adapt to portal changes, handle exceptions intelligently, and make decisions like a skilled operations specialist. When a portal redesigns overnight, Champ adapts. RPA breaks.

Champ works with any web-based portal through browser automation — including CAQH ProView, NPPES/NPI Registry, Availity, Navinet, payer-specific portals (UHC, Aetna, Cigna, BCBS), state licensing boards, and EHR/PM systems. We don't rely on pre-built API connectors, so if your team can access it in a browser, Champ can automate it.

Most healthcare workflows are live within 2-4 weeks. We handle all implementation — you provide SOPs and portal access, we build and validate in shadow mode alongside your existing team. Credentialing verification workflows have gone live in as little as 5 business days.

Absolutely. Champ excels at multi-payer workflows because AI agents can manage dozens of payer portals simultaneously, each with different requirements, timelines, and interfaces. A single Champ workflow can credential a provider across 20+ payers in parallel — work that would take a human coordinator weeks.

All credentials are encrypted at rest using AES-256 and in transit via TLS 1.3. We use isolated browser sessions with credential vaults — passwords are never exposed in plaintext or stored in logs. Access is scoped per workflow and fully auditable.

We'll build out one complete workflow for your team at no cost — whether that's a credentialing verification flow, a claims status check, or a prior auth submission process. We run it in shadow mode alongside your existing process and keep iterating until we match or exceed human accuracy and speed. You only pay when we've proven the value.

Ready to automate your healthcare operations?

We'll build your first workflow for free. No risk, no commitment — just results.

The offer: We build a workflow, run it in shadow mode, and keep iterating until we outperform human accuracy and speed. You only pay when we've proven the value.