APCM

Revolutionize Patient Care in UnitedHealthcare Clinics with AI

Transform your UnitedHealthcare clinic's operational efficiency and patient interactions with our advanced AI Call Center solutions, designed to meet the unique needs of healthcare providers.

Boost customer satisfaction scores by 20% within the first three months of implementing APCM AI call center solutions in UnitedHealthcare clinics.

Common Challenges for unitedhealthcare Practices

  • !Managing high call volumes during peak hours disrupts patient services.
  • !Inefficient appointment scheduling leads to patient dissatisfaction.
  • !Compliance with HIPAA and other regulatory requirements can be daunting.
  • !Integrating varied EHR systems for seamless operation is challenging.

How Tile Healthcare Helps unitedhealthcare Providers

  • Automate patient inquiries to reduce wait times and improve satisfaction.
  • Streamline appointment scheduling and reminders to enhance patient experience.
  • Ensure HIPAA compliance with secure data management features.
  • Seamlessly integrate with EHR systems to provide unified patient data access.

Real-World Use Cases

  • 1UnitedHealthcare clinics use APCM AI to automate repetitive tasks, freeing staff for direct patient care.
  • 2AI-driven appointment scheduling reduces no-shows and optimizes clinic capacity.
  • 3Advanced data analytics provide insights into patient needs, improving care strategies.
The Revenue Gap

Where does your APCM revenue go?It was never captured.

The typical primary care practice sits on $100,000+ of billable APCM revenue each year. The bottleneck isn't eligibility - it's the operational bandwidth to enroll, document, and follow up with 500+ patients at scale.

$0K

Average annual APCM revenue left uncollected per practice with 500+ Medicare patients.

4 in 5

Eligible patients never get enrolled because clinical staff are fully committed to in-office care and cannot absorb outreach on top of their existing workload.

11 hrs/wk

Consumed by your team on enrollment calls, care plan documentation, and compliance paperwork - tasks that automation resolves in minutes.

38%

Of practices that attempt manual care management programs abandon them within 6 months. The operational burden is simply unsustainable without technology.

The bandwidth problem won't fix itself. But it can be automated in under 30 days.

What does your revenue command center do?

Track eligibility, monthly check-ins, and billable time for 500+ patients across 8+ EHRs in one dashboard - mapped to the 2025 APCM codes G0556, G0557, and G0558.

Dashboard

How does the automated workflow
turn data into revenue?

We sync with your EHR to find eligible chronic patients.
1

We sync with your EHR to find eligible chronic patients.

We call patients to explain benefits and get consent.
2

We call patients to explain benefits and get consent.

We monitor patients 24/7 and conducts monthly check-ins.
3

We monitor patients 24/7 and conducts monthly check-ins.

We send you a billing report every 30 days, mapped to codes G0556-G0558.
4

We send you a billing report every 30 days, mapped to codes G0556-G0558.

Your Clinical Workforce in the Cloud.

Smart eligibility and audit-proof compliance - automated and always on, 24/7, 365 days a year, so you never miss a dollar.

Which patients qualify for APCM?

We scan your entire patient panel against the 2025 APCM codes G0556, G0557, and G0558, separating eligible patients from legacy CCM - so you never bill incorrectly.

Scanning patients...
Maria S.
APCM Eligible
James R.
APCM Not Eligible
Linda K.
APCM Eligible
Robert T.
APCM Eligible
Susan M.
APCM Eligible

How does patient outreach work?

From enrollment calls to at least one monthly check-in, our AI agent handles every patient conversation - documented and compliant without your staff lifting a finger.

How do we keep you audit-ready?

Every patient interaction is documented with precise time tracking, call recordings, and care plan updates - encrypted with AES-256 and stored securely for 7 years so you're always audit-ready.

Time TrackingCall RecordingEHR SyncHIPAA Compliant7-Year Retention

Who covers your patients 24/7?

Your patients get continuous coverage without adding headcount. Our AI agent handles enrollment outreach, monthly check-ins, and emergency escalation to your on-call provider 24/7 - day, night, weekends, and all 11 federal holidays.

Patient OutreachMonthly Check-InsEmergency EscalationHoliday Coverage

Frequently Asked Questions

How does APCM AI integrate with existing EHR systems in UnitedHealthcare clinics?+

APCM AI seamlessly connects with your existing EHR systems, ensuring all data remains synchronized and accessible, enhancing patient management.

Can APCM AI handle large call volumes during peak times?+

Yes, APCM AI is designed to manage high call volumes effectively, ensuring smooth patient service even during peak operation times.

Is the APCM AI system compliant with HIPAA regulations?+

Absolutely. Our AI systems are fully HIPAA-compliant, ensuring that all patient information is securely handled and stored.

What support is available when integrating APCM AI with our clinic's existing systems?+

We offer comprehensive support, including training and a dedicated technical team to ensure a smooth integration process.

Trusted by Forward-Thinking Independent Practices.

Real results from practices using AI-powered patient engagement to transform care delivery and revenue.

Security Shield Overlay

Ready to turn patient data into passive revenue?

$0 setup fees. No long-term contracts. 100% HIPAA compliant. Live in under 30 days.