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Procode

AI-powered RCM for private practice surgeons. Fine-tuned hybrid LLM achieved 86.7% overall CPT coding accuracy in peer-reviewed PRS Global Open study — vs. 42.5% for human auditors and 35.8% for OpenAI GPT-5. On hard cases (4+ CPT codes): 80% vs. 5–12.5% for general-purpose LLMs. Acquired The Auctus Group (leading RCM for plastic surgeons/derm). M funds two additional surgical billing acquisitions. Contingency billing model: paid only when clients are paid. 350+ providers served.
AI CodingSurgical RCM / Private Practice Billing
Website ↗
2024
United States
Early

RevCycleAI Brief

Published research

AI-powered RCM for private practice surgeons. Fine-tuned hybrid LLM achieved 86.7% overall CPT coding accuracy in peer-reviewed PRS Global Open study — vs. 42.5% for human auditors and 35.8% for OpenAI GPT-5. On hard cases (4+ CPT codes): 80% vs. 5–12.5% for general-purpose LLMs. Acquired The Auctus Group (leading RCM for plastic surgeons/derm). M funds two additional surgical billing acquisitions. Contingency billing model: paid only when clients are paid. 350+ providers served.

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RevCycleAI Intelligence Scores

Methodology
54
12
22
0

Market Matrix: Emerging · Impact 27 · Capability 13

Funding & transaction history

2 tracked
2026-07-29 · Series A · $10M

AI-powered RCM for private practice surgeons. Fine-tuned hybrid LLM achieved 86.7% overall CPT coding accuracy in peer-reviewed PRS Global Open study — vs. 42.5% for human auditors and 35.8% for OpenAI GPT-5. On hard cases (4+ CPT codes): 80% vs. 5–12.5% for general-purpose LLMs. Acquired The Auctus Group (leading RCM for plastic surgeons/derm). M funds two additional surgical billing acquisitions. Contingency billing model: paid only when clients are paid. 350+ providers served.

2026-03-03 · Seed · $4M

AI-powered RCM for private practice surgeons. Emerged from stealth and acquired The Auctus Group, a top-3 dermatology biller and U.S. biller for plastic surgeons.