AI-Powered Revenue Cycle Automation

Our fully customizable AI Agents operate your current systems to perfect precision, so your team doesn’t have to. Experience seamless integration, reduced overhead, and a significant leap in your revenue cycle performance.

What We Do

Thoughtful AI delivers transformation by providing a comprehensive layer of automation throughout the organization.

70%

reduction in time spent scheduling

Eligibility Verification

  • Commercial & Medicaid eligibility checks
  • Voice-enabled insurance verification
  • Multi-payer portal & EHR integration
  • Real-time eligibility monitoring

98%

First-pass resolution rate

Prior Authorization

  • Prior authorizations on autopilot
  • Automated treatment plan verification
  • Multi-payer submission & appeals
  • Real-time tracking & monitoring

60%

reduction in time spent with charge capture

Coding and Notes Review

  • Real-time compliance & guideline updates
  • High-accuracy medical code validation
  • Multi-payer rule synchronization
  • Advanced documentation analysis

95%

reduction in cleaning and submitting claims

Claims Processing

  • Primary & secondary claims automation
  • Multi-payer portal submission
  • Real-time claims scrubbing & monitoring
  • Coordination of benefits integration

75%

or more reduction in preventable claims denials

Denials Management

  • Real-time denial analysis & resolution
  • Intelligent appeals & resubmission
  • Multi-payer appeal letter generation
  • Comprehensive denial tracking & reporting

82%

less time spent on reconciliation and audit reports

Payment Posting

  • 100% precision across EDI, manual and lockbox
  • Automated EOB & ERA processing
  • Account Reconciliation
  • Revenue Reporting

End-to-end horsepower

Unified Automation with AI Agents

Thoughtful AI redefines the revenue cycle by custom configuring our AI Agents to deliver unmatched throughput and accuracy. We bring a harmonized approach, ensuring data consistency and streamlined operations. Say goodbye to disjointed processes and embrace a unified solution that enhances every aspect of your revenue management.

  1. Consistent and error-free process execution across all AI Agents.
  2. Seamless integration with your EHR, Practice Management system, and all payer and state portals, results in a unified and efficient workflow.
  3. Reduced operational costs by minimizing the time and people required to manage and perform these processes. The Thoughtful AI platform does the work.
  4. Increased revenue performance through cleaner data optimized to reduce denials and improve collection times.

Integrated Seamlessly

Scalability, Customization, and Universal Integration

The Thoughtful AI platform is designed for scale and tailored to your unique needs. Fully customizable, it integrates seamlessly with any system you use—EHRs, practice management systems, payroll portals, state portals, and more. Whatever your infrastructure, our platform ensures a perfect fit, adapting to your evolving needs and delivering excellence across your revenue cycle.

  1. Flexible adaptation to your organization’s scale and growth needs.
  2. Customizable features to meet specific operational needs unique to your business.
  3. Universal integration with existing systems for a cohesive operating model.

Compliance Every Time

Accuracy and Compliance

Navigate the complexities of healthcare regulations confidently. Our platform ensures strict compliance and exceptional billing, reporting, and reconciliation workflow accuracy. We help you reduce claim denials significantly, maintaining impeccable standards in every financial interaction.

  1. Enhanced compliance with current healthcare regulations and standards.
  2. Decreased claim denials due to improved accuracy in patient verification, claims processing, and prior authorization related processes.
  3. Risk mitigation in financial transactions and patient data handling. Thoughtful AI is SOC 2 Type II certified and HIPAA compliant.

Achieving Guaranteed Outcomes and ROI

Join leading healthcare providers and:

  • Collect more money, faster
  • Higher capacity, less headcount
  • Acquire and retain more patients