Claims Processing
Clean your claims, reduce denial rates, and cut RCM costs.
75%
or more reduction in claims denials
95%
reduction in manual time spent on cleaning and submitting claims
Key Features
Claims scrubbing
Scrubbed and ready for payment, the first time.
Our Claims Processing product scrubs claims to prevent denials and costly rework. It ensures they are complete and optimized for payment the first time by way of your clearing house or payor direct.
Primary claims
Automate claims processing, reducing costs while increasing collections.
Submitting claims is tedious and costly, with nuanced rules across payors, procedural codes, services, and more. To prevent errors and free your staff to focus on higher-value work, our Claims Processing product generates, cleans, and submits claims through your existing EDI connections or directly through payor portals.
Secondary claims and Coordination of Benefits
Secondary claims and beyond, we’ve got you covered end-to-end.
After the primary payment has been applied to the claim, our Claims Processing automation identifies the patient’s secondary payor and the outstanding balance to be applied. It collects the primary EOB from the primary payor portal and attaches a cover sheet if needed before sending the secondary claim to the payor. It can even proactively monitor for the receipt of the secondary EOB and update the claim accordingly.
Collect more money, faster.
Higher capacity, less headcount.
Acquire and retain more patients.
These companies have already seen the benefits of automation...
"I’ve been amazed at Thoughtful’s ability to deploy AI Workers that run my business processes while my staff focuses on other higher-value tasks. By reducing the time taken to complete the process by 90%, it has enabled us to direct our attention towards the bigger picture. Our team no longer spends more time than necessary on the minutiae of a repetitive process."
"Thoughtful has enabled us to direct our attention towards the bigger picture. Our team no longer spends more time than necessary on repetitive processes."
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Kevin Silver, CFO
235%
return on investment
90%
reduction in invoice processing time
"Thoughtful introduced a solution that eliminated a glaring gap in our billing workflow. An AI Worker is now part of our accounting team, performing this vital role more efficiently and at a fraction of the cost of paying a full salary to an actual employee."
"Thoughtful introduced a solution that eliminated a glaring gap in our billing workflow. An AI Worker is now performing this vital role more efficiently and at a fraction of the cost of paying a full salary to an actual employee."
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Zach Leonard, Founder
30%
reduction in costs
100%
automated billing
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"Using AI Workers significantly reduced our efforts, allowing us to optimize productivity in other core areas. Our AI Workers continue to save us time and money in multiple ways. We couldn’t be happier with the services rendered by the Thoughtful team and their ongoing support."
"AI Workers are significantly reducing our efforts, allowing us to optimize productivity in other core areas. We couldn’t be happier with the services rendered by the Thoughtful team and their ongoing support."
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Brittany Turner, Director of Compliance and Systems
95%
faster than human team
100s
applications processed per day
Platform agnostic:
compatible with any system of record
Our AI-powered automation fleet is flexible, scalable, and configurable.
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