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Easterseals Central Illinois’s Success with Thoughtful AI

Easterseals Central Illinois Cuts A/R by 35 Days

35

days faster in A/R

7%

reduction in primary denials

The Challenge

Easterseals Central Illinois provides services to help children with developmental delays, disabilities, and other special needs reach their full potential.

Behind the scenes, they faced growing pressure on their revenue cycle operations. Extended A/R days were causing cash flow delays, while ABA claims were frequently denied due to manual errors in CPT codes, missing modifiers, and inconsistent payer-specific requirements. These complex rule checks required time-consuming manual edits and constant oversight.

The process was resource-intensive and resulted in a system that strained both resources and revenue.

The Solution

Thoughtful AI implemented AI Agent CAM to automate primary claims processing. It was built around Easterseals’ specific workflows, with custom-designed automation that fit directly into their existing systems.

CAM verifies CPT codes and modifiers using AI, runs real-time compliance checks for payer-specific requirements, and processes each claim with minimal human input. Integration was seamless, requiring no disruption to Easterseals’ core infrastructure.

The Results

Since launch, Easterseals has cut its A/R cycles by 35 days and reduced primary denials by 7%. Denials for ABA claims have also dropped to under 2%.

Manual workload is lighter, compliance is stronger, and the team can now focus on process improvement instead of firefighting. The financial impact is clear, but more importantly, the automation gives Easterseals more room to focus on its core mission: providing exceptional care to those who need it most.

The Future

This is the one thing in our Revenue Cycle that we don't have to worry about on a daily basis. We now have time to pay attention to the high-level issues and further improve our RCM performance. Automating our Primary Claims has allowed us to do better for our business and the families we serve.

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Aaron Miller, Director Of Performance Improvement

This is the one thing in our Revenue Cycle that we don't have to worry about on a daily basis. We now have time to pay attention to the high-level issues and further improve our RCM performance. Automating our Primary Claims has allowed us to do better for our business and the families we serve.

-

Aaron Miller, Director Of Performance Improvement

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