Payer-Facing AI Phone Calls

Amperos Health is an AI agent for RCM-related outbound calling, focused on follow-ups for outstanding and denied claims. It calls insurance for claims status, investigates denied claims based on the reason for denial, and provides actionable steps to the RCM team to get paid faster.

Bland is an infrastructure solution to build AI phone agents for a variety of healthcare use cases, including cold calling for surveys, prior authorization, appointment scheduling, verification of benefits, and automated follow up to inbound inquiries.

Infinitus offers an outbound AI phone platform to handle calls like benefit verification, prior authorization, and prescription follow-up. It automates data collection processes with accuracy, integrates with existing healthcare systems, and supports a variety of standardized call flows.

Opkit is a customizable AI phone call platform with both AI agents and human agents. Common use-cases include eligibility checks, prior authorizations, denied claim appeals, formulary checks, and appointment scheduling.

SuperDial is a platform for AI-enabled payer phone calls for insurance verification, prior authorization, credentialing and enrollment, and claim follow-ups.

Tucuvi is an phone-based AI agent trained in evidence-based clinical protocols to automate clinical calls for care plans and chronic conditions, such as follow-ups for COPD, heart failure, and maternity. It guides conversations based on clinical guidelines to ensure meaningful and medically informed interactions, and is integrated with EHR systems for appropriate data access and writeback.

Health Harbor is an AI agent that calls insurance companies for eligibility and claim status checks.

Majorboost offers an AI-based outbound calling copilot for AR, Prior Authorization, Credentialing, Eligibility, and Patient Calls, with handling for phone trees, waiting on hold, and note-taking to augment in-office satff.

Outbound AI is an AI virtual agent for medical billing teams.

Standard Practice provides voice AI for outbound calls to payers and pharmacies for workflows like benefits verification, credentialing, prior authorization, and medication checks.