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Behavioral Health Works’s Success with Thoughtful AI

From Months to Minutes: How Thoughtful AI Revolutionized BHW's Client Management

400%

increase in payment processing

100%

automated insurance eligibility

The Challenge

Behavioral Health Works (BHW), a leading provider of Applied Behavior Analysis services across four states, faced growing challenges with their EHR platform. Their Intake & Authorizations and Scheduling departments struggled with:

  • Inaccurate reporting due to outdated client profiles
  • Manual processing delays for client deactivation
  • Inefficient authorization tracking
  • Time lost to inquiries about inactive clients
  • Limited communication with active client families

The situation was particularly challenging as deactivating outdated profiles manually would have taken months, creating a major operational burden on their staff.

The Solution

BHW implemented a comprehensive solution leveraging three specialized AI Agents to overhaul their EHR management:

  • AI Agent EVA automates the patient benefit verification process and monitors insurance status changes.
  • AI Agent CAM supports clean claim submissions with automated scrubbing and verification.
  • AI Agent PHIL handles payment posting, reconciliation, and claim status tracking.

The implementation process was smooth and fast. After a 15-minute consultation to align on goals, the team delivered a project outline within 24 hours and wrapped up implementation three days ahead of schedule.

BHW gained 24/7 support from RCM AI Agents, automating routine operations and freeing staff to focus on higher-value work.

The Results

Immediate Impact

BHW immediately saw streamlined reporting capabilities with accurate, up-to-date client data. The team gained improved visibility into authorization expiration dates, enabling better forecasting and planning.

Communication with active client families became more effective, while unnecessary inquiries about inactive clients were eliminated. The automation also reduced the administrative burden on regional directors and schedulers, freeing up valuable time across departments.

Strategic Benefits

The improvements created a solid foundation for practice expansion. BHW saw greater accuracy in workload forecasting, allowing them to better align staffing with operational needs. The team was also able to send mass communications for company announcements more efficiently, and their annual information update processes became more efficient.

"If any company is exploring AI automation for their practice, I can't recommend Thoughtful AI highly enough. The Thoughtful team is incredibly knowledgeable about their work and how their solutions align with healthcare companies' goals and mission. Thoughtful AI's ability to understand our vision and implement automation beyond our expectations is truly exceptional!"

BHW Leadership Team

The Power of AI Agents Working Together

BHW’s success highlights the strength of Thoughtful AI’s integrated approach:

  1. AI Agents integrate seamlessly across the EHR lifecycle, from client status updates to reporting.
  2. Timelines accelerated significantly as work that once took months was automated and completed ahead of schedule.
  3. Implementation caused minimal disruption, requiring little direct coordination with engineers so staff could stay focused on core work.
  4. Client data is managed accurately and consistently across all departments, ensuring comprehensive coverage.

The Future

BHW is now well-positioned for continued growth and expansion. With streamlined workflows powered by AI Agents, they can run scalable operations across multiple states, get real-time visibility into client status, insurance, and services, and build on a strong foundation for future tech improvements. They also have greater capacity to support a growing client base.

BHW’s team says they feel “significantly lighter” with the project complete, and the accurate, organized system will enable them to expand their service areas more effectively.

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