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Easterseals Central Illinois used AI Agents to automate and streamline their Primary Claims

35

days faster in A/R

7%

reduction in primary denials

This is the one thing in our Revenue Cycle that we don’t have to worry about on a daily basis thanks to Thoughtful’s AI Agents. 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 thanks to Thoughtful’s AI Agents. 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

Company Name

Easterseals Central Illinois

Company Mission

Easterseals Central Illinois has been operating for over 100 years across 4 locations in Illinois, providing services to help children with developmental delays, disabilities, and special needs reach their full potential.

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The Problem

Easterseals Central Illinois struggled with high Days in A/R and frequent ABA claim denials due to unfiled claims with issues like missing modifiers and incorrect CPT codes. Manual errors in the RCM process led to growing inefficiencies and delays.

Certain payers had very specific rules which led to burdensome manual edits and workflows that were susceptible to human errors, leading to high denial rates.

The Approach

The Thoughtful team comprehensively examined current workflow process and then crafted a bespoke implementation strategy tailored to the needs of Easterseals Central Illinois. Thoughtful’s AI Agents automated the Primary Claims process and removed all human errors. AI Agents enhanced compliance with payer-specific rules, reducing the manual burden and error rates associated with claim submissions.

The Result

AI Agents reduced the primary denials by 7% on average and brought the ABA claim denials down to less than 2%. Easterseals Central Illinois significantly decreased time spent on low-level but high-risk billing issues, allowing the team to focus on high-impact RCM improvements.

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Achieving Guaranteed Outcomes and ROI

Join leading healthcare providers and:

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

Easterseals Central Illinois used AI Agents to automate and streamline their Primary Claims

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25 Days

Claims submission time reduced

7%

reduction in primary denials

Meet

Style

Achieving Guaranteed Outcomes and ROI

Join leading healthcare providers and:

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