Revenue Cycle Automation

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Luminai
Claimed

Luminai

Company Info
Founded: 2020
Headcount: 11-50
Customers
Verified Customers: 7
Customers Served: Ambulatory Practice, Hospital / Health System, Health Plan, Digital Health Provider, Employers
Product Overview
Security Certifications: SOC 2 Type 2, SOC 2 Type 1, HIPAA
Luminai is a healthcare automation platform for RCM and Clinical Operations that uses a trained language to task execution ML model that can read documentation and execute tasks with a keyboard and mouse. Luminai's technology converts standard operating procedures into executable actions, handling complex logic without PHI leaving the system. Key RCM applications include registration, eligibility, coverage discovery, prior authorization, billing edits, and denials management. Additionally, it incorporates an LLM-oriented "Think" function to infer and summarize data, making clinical operation recommendations, such as processing lab reviews and suggesting next steps based on pre-programmed logic.
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Automat

Automat

Company Info
Founded: 2022
Headcount: 1-10
Customers
Customers Served: Ambulatory Practice, Digital Health Provider, Hospital / Health System, Health Plan, Life Sciences
Product Overview
Security Certifications: HIPAA, SOC 2
Automat uses AI-driven RPA to streamline tasks in healthcare administration, including EHR data entry and migration, billing and insurance verification, and lab and pharmacy integration, with customized workflow automations tailored to organizational needs.
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Element5

Element5

Company Info
Founded: 2019
Headcount: 51-200
Customers
Verified Customers: 9
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
Security Certifications: SOC 2 Type 2, HIPAA
Element5 is a workflow automation platform for post-acute care, focusing on eligibility verification, authorization processing, and RCM with AI and RPA. Element5 integrates with existing EHR systems and clearinghouses to help manage the entire claims process from initiation to payment posting and reconciliation.
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Infinx

Infinx

Company Info
Founded: 2012
Headcount: 1001-5000
Customers
Verified Customers: 7
Customers Served: Hospital / Health System, Ambulatory Practice
Product Overview
Security Certifications: SOC 2 Type 2, HIPAA
Infinx is a Revenue Cycle Automation platform that uses AI and RPA to automate prior authorizations, insurance eligibility checks, patient financial verifications, and billing. The platform integrates with Epic, Cerner, and athenaHealth, expediting claim submissions, managing denials, and ultimately improving cash flow and maximizing reimbursements for providers.
Jorie AI logo
Jorie AI

Jorie AI

Company Info
Founded: 2015
Headcount: 1001-5000
Customers
Customers Served: Hospital / Health System, Ambulatory Practice, Health Plan
Product Overview
Security Certifications: PCI DSS, SOC 2
Jorie AI is an AI-driven RCM automation platform, with use cases for eligibility verification, accounts receivable management, and denial management, offering integrated human oversight where necessary. Jorie AI employs advanced robotic process automation (RPA) that acts as virtual humans, navigating EHR systems, clearinghouses, and payer portals.
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Plenful

Plenful

Company Info
Founded: 2021
Headcount: 11-50
Customers
Verified Customers: 5
Customers Served: Pharmacies, Hospital / Health System
Product Overview
Security Certifications: HIPAA
Plenful is an AI workflow automation platform designed for pharmacy and healthcare operations. It automates administrative tasks like 340B audits, documents processing for referrals, orders, and intake forms, contracted rates optimization & inventory planning, and pharmacy claims auditing. Plenful handles data formats including unstructured data as well as HL7v2, FHIR, REST APIs, and delimited text files.
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Rotera

Rotera Alyks

Company Info
Founded: 2021
Headcount: 1-10
Customers
Verified Customers: 2
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System
Product Overview
Security Certifications: HIPAA
Rotera Alyks is a digital assistant and revenue cycle automation platform designed to assist with call center operations, real-time insurance discovery, denials management, and knowledge management by providing actionable suggestions and automating routine tasks. The platform can integrate with EHRs and other systems via API, and supports customized workflows.
Thoughtful AI logo
Thoughtful AI

Thoughtful AI

Company Info
Founded: 2020
Headcount: 51-200
Customers
Verified Customers: 10
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
Security Certifications: SOC 2 Type 2, HIPAA
Thoughtful AI is an AI Revenue Cycle Automation platform that integrates with EHRs and practice management systems to automate tasks in eligibility verification, patient intake validation, claims processing, payment posting, with additional capabilities in coding, provider management, and revenue reporting.
UiPath logo
UiPath

UiPath

Company Info
Founded: 2005
Headcount: 1001-5000
Customers
Customers Served: Hospital / Health System, Ambulatory Practice
Product Overview
Security Certifications: SOC 2 Type 2, HIPAA, GDPR, ISO 27001
UiPath is a vertical-agnostic RPA platform that can be used for RCM processes like patient registration, billing, claims processing, insurance verification, and payment posting. Additionally, UiPath's analytics and reporting tools provide insights into RCM performance, helping healthcare organizations optimize their financial operations.