Unlock your medical claims

with specialized revenue cycle LLMs.

Streamline your claims with greater speed, cost-efficiency, and accuracy.

Book a Demo

Our AI predicts denials & proactively fixes them, so your billing team doesn’t have to worry about not getting paid.

Cair Health elevates your billing workflows with AI . Our cutting-edge LLMs can submit batches of 10,000 claims in less than 10 minutes giving you time back to focus on what matters most.

4-step workflow for claims review

Predict Risk

Cair uses 2 billion historical claims to analyze denial risk & forecast the expected remittance of each claim.

AI-Generated Edits

Our expert AI model has synthesized 150k+ payer policy documents enabling it to automatically review and edit claims with higher precision and faster processing.

Apply Custom Rules

After applying AI edits, we’ll enforce any custom rules you’ve uploaded to ensure your claims are billed exactly the way you want.

Submit & Follow-Up

And, the claim is ready! We’ll format & route the claim to the payer, and conduct automated follow-up and status checks on your behalf.

We’ll get your claims right on the first pass.

Unlike old-school RCM systems which use unreliable rules engines, our LLM’s knowledge base is the payer’s own policy documents.

"With Cair Health's specialized revenue cycle AI LLMs, you receive expert-level insights and recommendations matching the accuracy of a professional biller, across diverse specialties and service types."

Robert Rupp, Revenue Cycle Consultant at New Jersey FQHC

A marketplace of genAI solutions for your claims.

Autonomous Coding

Our AI automatically fills claims with up-to-date ICD-10 Codes, CPT/HCPCS/DRG codes, & modifiers using EHR notes
- Access to the most up-to-date coding definitions
- Actively pull information from customer EHR

Denials Management

Our AI reads and interprets 835 responses and payer portals to automatically resubmit revised claims.
- Parse 835 denial reason and remark codes
- Actively follow-up with payers to get claim approved

Eligibility Verification

Automate patient eligibility & benefits verification for specific procedures with one click!
- Verify benefits coverage & in-network vs out-of-network status
- Identify max charge amounts

Payer Policy Database

Extensive collection of 2M+ billing rules, coding guidelines, and prior authorization requirements.
- Derived from 150k+ payer policies
- Every rule in our database is tied to a source insurance policy

Claims Submission

Automate review and submission of your claims using our advanced LLM optimization system to maximize acceptance & accelerate your payments.
- Process 837 claim submissions
- Automatically collect 835 ERA responses on your behalf
- Submit to 1000+ payers

Revenue Forecasting

Project revenue across the next 6-months and preemptively identify leakage.
- Advanced ML models trained on 2B historical claims
- Identify underpaid claims with real-time anomaly detection

Status Checks

Reduce manual follow-up with real-time status checks for your claims:
- Accelerate reimbursement by identifying and addressing issues faster
- Automated inquiries via 276 transactions

Rates & Contracting

Compare negotiated rates across different payers, providers, and NPIs to ensure your organization is getting the fair market rate!
- Price Transparency rates data for 99% of covered lives in your state
- Data refreshed monthly