Case command center
Live pilot surfaceDocuments3 uploaded
Ledger matches11 reviewed
Open tasks4 due
Packet statusDrafting
Spato Advocate
Case prep for medical bill advocates.
Turn bills, EOBs, denials, and correspondence into a review-ready case file with a reconciled ledger, evidence-backed findings, and packet drafts.
Case folderBills, EOBs, denials
Review surfaceLedger, tasks, findings
OutputPacket draft with evidence
Reconciliation ledger
Bill and EOB lines ready for review.
72148MRI lumbar spine without contrast
$4,820.00$1,146.32$812.44Review99213-25Established patient visit
$286.00$92.18$18.44Verified97110Therapeutic exercise duplicate unit
$178.00Missing$178.00GapBuilt for commercial insurance case prep
Human review gates before packet inclusion
Evidence anchors on extracted facts
Product
A workbench for the part of advocacy that eats the week.
Spato is being shaped around the repetitive case-prep loop: collect documents, reconcile charges, review what is reliable, and package the strongest dispute.
One case file, not a pile of PDFs.
Bills, EOBs, denials, receipts, and correspondence are tied to the same client, provider, payer, and review history.
A line-level reconciliation table advocates can audit.
Bill and EOB lines are matched with confidence, mismatch reasons, adjustment amounts, denial context, and review status.
Only confirmed findings move forward.
The packet draft pulls from reviewed findings and keeps evidence anchors visible before export.
Workflow
Designed for advocate judgment, not autopilot.
The product should reduce busy work without pretending medical bill disputes are one-click decisions. Every important step leaves a review trail.
Open a case
Capture the client, provider, payer, balance, deadlines, and missing documents from the first intake call.
Parse the file
Extract bill and EOB lines with source anchors, OCR warnings, and fields advocates actually dispute.
Reconcile the ledger
Review matched lines, reject weak matches, correct extraction mistakes, and rebuild the case record.
Build the packet
Confirm findings, capture dismissal reasons, draft the dispute packet, and export an evidence-backed PDF.
Accuracy posture
Make uncertainty visible before it becomes a bad dispute.
The goal is not to let AI negotiate a bill. The goal is to give advocates a faster, cleaner case record with confidence signals, correction paths, and findings that are grounded in the documents.
Source anchors stay attached to extracted fields.
Low OCR quality becomes a review task, not hidden confidence.
Missing EOBs and itemized bills are surfaced as work items.
Packet inclusion requires advocate confirmation.
Private pilot
Bring one real case into the workbench.
The pilot starts with provider bills and EOB reconciliation, then expands into deeper appeal prep, deadlines, team queues, and reference-data workflows.
Request pilot access