Skip to content
Reliable Group

For healthcare services companies

Growth adds seats. Cash waits in denials and chargebacks.

The AI operating partner for RCM, NEMT, FMO, GPO, distribution and staffing companies. We start with a fixed-fee discovery of one department.

Find your businessHow we start

Who it is for

Find your business.

Companies that sell largely administrative work to payers, providers, manufacturers and members.

One representative loop

One claim, trip, order or statement, intake to cash.

Every sub-sector runs a version of this loop. Cost and cash delay sit in the exceptions.
  1. Intake read from fax, portal, EDI or statementAI, person checks
  2. Re-keying removed between systemsAutomation
  3. Eligibility or contract price checkedAutomation
  4. Status chasedAutomation
  5. Denial or chargeback line preparedAI, person checks
  6. Cash posted and appliedAutomation
  7. Exceptions decidedYour staff decide
Stays with your licensed staff: Final codes, plan advice, clinical review, pharmacist verification and lab results. Dispatch, sourcing and contract decisions stay with your team too.

Medicare distribution, anonymized

Direct: this segment

Commissions, HR and onboarding rebuilt while the business grew

A field marketing organization placing Medicare plans for 225,000+ lives through roughly 1,500 agents. Reliable Group rebuilt commissions, HR and onboarding around automation and AI, and gave agents a voice assistant for plan comparison and compliance. Sales capacity held and the business grew through the year, while the corporate team went from about 450 to under 200.
Grew, capacity held
One year: the business grew and sales capacity held. The corporate team went from about 450 to under 200.
anonymized realized
What transfers: Statements reconciled, onboarding rebuilt and agents supported with automation first and people on exceptions, the loop every sub-sector here runs.
See the measured results

How we handle regulated data

Design posture, not certification

Trust Center and documentation
BAA
Where a department handles protected health information, we execute a business associate agreement before Trace is installed or any data is accessed.
HIPAA
We execute a Business Associate Agreement before any engagement that touches PHI, and PHI is accessed only inside client-controlled systems by named individuals. Our first healthcare engagement under BAA is in progress.
Posture
Ready and aligned describe design posture, not certification. Reliable Group does not currently hold SOC 2 or ISO 27001 certification; our teams operate inside client-certified environments under client controls.
Notice
We deploy Trace only after your organization has given team members the written notice required in your state; we provide the notice template.
Last reviewed October 2026

Questions services operators ask

  • We measure one billing, trip intake, order operations or credentialing department, find the workflows that take the most hours, and rebuild them: rules-based automation first, AI for suitable unstructured work, your people for judgment and accountability. We run the result inside your company.

  • A fixed fee for a six to eight week discovery of one department, agreed before we start. It ends in a workflow map and a fixed-price proposal for the first build, so you see that price before you commit. No obligation to continue afterwards.

  • We start with one department, inside your systems and under your logins; nothing is replaced. Discovery asks your team for access and a named owner, not new tools or weeks of interviews.

  • A per-FTE contract is paid for hours, so it has little reason to remove them. We measure the queue first, then rebuild it around automation and AI and run it inside your company. Fixed fee to start, no obligation to continue afterwards.

  • Your client-specific workflows, data and documentation are yours. Trace is Reliable Group software, licensed under the engagement; third-party tools keep their own license terms. When the work needs a team, it is managed by us, in your entity or ours.

  • Yes. Where a department handles PHI, we sign a BAA, or a subcontractor BAA if you are already a business associate, before Trace is installed or data is accessed. Whether an India team touches PHI is your call, made against your payer and state contracts.

Next step

Stop guessing how your operation works.

Start with a fixed-fee discovery: one department, six to eight weeks, a workflow map and a fixed-price proposal for the first build.

Talk to usHow we start