Get Grace


Get Grace

Win the battle to be paid on time and in full


Artificial and Machine Intelligence for Revenue Cycle Management.

Collect More and Chase Less

We've built an Artificial Intelligence, affectionately named "Grace," that exists specifically to solve the problem of underpayments and denials for Revenue Cycle Management.

Our customers have already collected 32% more of the allowable provider reimbursement for 11% less staff effort.


Hello; My name is Grace

I can help you win the claim game.


How Grace works

Grace is Fast

Grace is always on and always learning. Grace is so fast that it discovers behaviors, tests possible solutions and solves payment problems, all at near-real-time speeds.

Grace is Machine Intelligence that alerts you in the event that you have an opportunity to make or save money.

Grace is Smart

Grace is Machine Intelligence that exists to be revenue cycle management's most valuable asset.

Grace observes, learns, and analyzes your problems. It watches, listens, alerts you as to what is going to happen next.

Watch Video

CEO - Roshan Fernando explains how Grace works.

Grace's Story

Your goal is to increase productivity and revenue while decreasing waste. To do that you need to know which claims have the best chances of being paid. Because...

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Grace's Purpose

The struggle is real. When it comes to paying claims, we've seen the inconsistent, irregular and erratic payer behavior. It’s so frustrating not to understand how to...

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Grace's Technology

Grace is Machine Intelligence. This means that Grace leverages the power of multiple technologies like deep learning AI, machine learning, and big data analytics...

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Grace can help

Grace sees the secrets hidden in the data and knows what actions will lead to increased revenue. Grace provides real time alerts that show you where to focus your efforts. 

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Click below to view a demo about how Grace wins the claim game. 

Learn More - Watch Our Demo Video Now

Here's how we do it:

in 3 easy steps



We implement Grace into your billing process teaching it about you and your data. 



Grace compares past trends that to what's currently happening in the claim data to identify the reasons for problematic claims.



Grace identifies realtime opportunities to improve claims collection and shows you what efforts will make the most impact. Grace can give you action alerts before and after an 835. 

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Customer Stories

Thousands of providers trust us to deliver perfection every day.

“I am personally excited about Grace’s incredible potential for our nationwide billing entities. We are truly excited about our joint business relationship! Keep up the great work!”
Buddy Claborn - CEO, HealthPac

Buddy Claborn
CEO, HealthPac

“It was a daily fight to be paid on-time and in full.  Grace is like an RCM expert with millions of eyes on everything...including payer behavior.
Rich Papperman - President, Cape Medical Billing

Rich Papperman
President, Cape Medical Billing

MiddleGate is a game changing technology for RCM.

Ginger Ryder - President, EMEDX

Ginger Ryder
President, HBMA

“We knew that we were going to have to invest in technology to stay competitive. Partnering with MiddleGate has been a step towards making sure we can continue to be competitive and successful in the future. Empowering my staff with Grace has me excited." 

Ramesh Gogineni: CEO, Med-Strategies

Ramesh Gogineni
CEO, Med-Strategies

RCM Technology - Beyond the Buzzwords

Watch the Video and Download our guide to demystifying the technology trends within Revenue Cycle Management Business.

Download Now
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What Our Customers Say

I am floored by Grace's accuracy and ability to give us a level playing field. Now we're seeing increased revenue and decreased costs.

Ron Decker
Ron Decker, IHSI

Every time we touch a claim our costs were going up. We invested in Grace to reduce underpayments and to strategically bring our costs down.

Ginger Ryder - President, EMEDX

We were using a denial analytics system, but the problem still persisted. Grace goes way beyond denial analytics and tells us how to work smarter.

Michelle Durner - President, Applied Medical Systems

Get Grace in your Billing System

We can integrate with any billing system. As long as we can access the data we can deliver the insights. 

Middlegate Artificial Intelligence

You don't know what you're missing... Grace Knows!

Our mission is to end RCM suffering when it comes to being paid on time and in full. 

Contact us to see how Grace can work for you
Grace Observes the Data