What is Thoughtful?
Thoughtful is an AI operating system for healthcare revenue cycle management teams that automates eligibility checks, claims processing, and payment posting. It helps healthcare providers reduce claim denials, maximize reimbursements, and improve financial record-keeping accuracy.
What sets Thoughtful apart?
Thoughtful differentiates itself with AI agents that handle complex RCM tasks, freeing healthcare staff to focus on patient care. The system's ability to reduce claim denials by up to 75% helps providers collect payments faster than traditional methods. By automating time-consuming processes, Thoughtful allows RCM teams to manage more practices without increasing headcount.
Thoughtful Use Cases
- Automate eligibility verification
- Streamline claims processing
- Optimize payment posting
- Enhance revenue cycle management
Who uses Thoughtful?
Features and Benefits
- AI-Powered Eligibility VerificationAutomated eligibility checks reduce denials and ensure up-to-date patient coverage information.
- Automated Claims ProcessingAI agents handle claim submission, scrubbing, and management to improve clean claim rates and reduce processing time.
- Automated Payment PostingStreamlined payment posting across EDI, manual, and lockbox transactions for accurate financial record-keeping.
- Revenue Cycle IntelligenceData-driven insights across operations for strategic decision-making and performance optimization.
- Multi-System IntegrationAI agents operate across various healthcare applications to streamline workflows and reduce manual data entry.
Thoughtful Pros and Cons
Pros
- Saves time and effort in day-to-day tasks
- Efficient software for automating repetitive processes
- Excellent customer service with responsive support team
- Customized digital worker solution requiring no in-house team
Cons
- Frequent breakdowns requiring constant evaluation and management
- Setup process can be difficult to establish accurate workflows
- Changes to automation not implemented quickly enough
- Tiring to look for errors with every run
Pricing
Pilot Price not available
- 2-5 Included AI Credits
- 2 Expert Team Size
- Supports Healthcare Cloud Applications
- Eligibility Verification AI (EVA)
- Patient Intake and Prior Authorization (PAULA)
- Claims Processing, Scrubbing, and Denials Mgmt AI (CAM)
- Collections and Payment Posting AI (PHIL)
- 10 Seats for Empower, Revenue Intelligence Platform
- 6 Custom Dashboards
- Implementation Team for 6 months
- 24/7 Proactive Performance Monitoring
- Industry-leading Guaranteed Service Uptime of 99.5% (SLA)
- Average Response Time to Support Inquiries and Bug Fixes <24 hours
- 2 Executive Business Reviews and ROI Analysis
- Refund Guarantee
Pro Price not available
- 10 Included AI Credits
- 5 Expert Team Size
- Supports Healthcare Cloud Applications
- Supports Healthcare On-Prem Applications
- Eligibility Verification AI (EVA)
- Patient Intake and Prior Authorization (PAULA)
- Claims Processing, Scrubbing, and Denials Mgmt AI (CAM)
- Collections and Payment Posting AI (PHIL)
- 20 Seats for Empower, Revenue Intelligence Platform
- 12 Custom Dashboards
- Dedicated Customer Engineer
- Implementation Team for 9 months
- 24/7 Proactive Performance Monitoring
- Industry-leading Guaranteed Service Uptime of 99.5% (SLA)
- Average Response Time to Support Inquiries and Bug Fixes <12 hours
- 4 Executive Business Reviews and ROI Analysis
- Refund Guarantee
- Implementation Guarantee
Premium Price not available
- 20 Included AI Credits
- 8 Expert Team Size
- Supports Healthcare Cloud Applications
- Supports Healthcare On-Prem Applications
- Eligibility Verification AI (EVA)
- Patient Intake and Prior Authorization (PAULA)
- Claims Processing, Scrubbing, and Denials Mgmt AI (CAM)
- Collections and Payment Posting AI (PHIL)
- Finance and Accounting Department AI Agents
- Human Resources Department AI Agents
- IT Department AI Agents
- 50 Seats for Empower, Revenue Intelligence Platform
- 25 Custom Dashboards
- Dedicated Customer Engineer
- Implementation Team for 12 months
- 24/7 Proactive Performance Monitoring
- Industry-leading Guaranteed Service Uptime of 99.5% (SLA)
- Average Response Time to Support Inquiries and Bug Fixes <12 hours
- 6 Executive Business Reviews and ROI Analysis
- Refund Guarantee
- Implementation Guarantee
- ROI Guarantee
Enterprise Price not available
- 40 Included AI Credits
- 12 Expert Team Size
- Supports Healthcare Cloud Applications
- Supports Healthcare On-Prem Applications
- Eligibility Verification AI (EVA)
- Patient Intake and Prior Authorization (PAULA)
- Claims Processing, Scrubbing, and Denials Mgmt AI (CAM)
- Collections and Payment Posting AI (PHIL)
- Finance and Accounting Department AI Agents
- Human Resources Department AI Agents
- IT Department AI Agents
- Cloud Migration Services
- 100 Seats for Empower, Revenue Intelligence Platform
- 50 Custom Dashboards
- Dedicated Team
- Implementation Team for 18 months
- 24/7 Proactive Performance Monitoring
- Industry-leading Guaranteed Service Uptime of 99.5% (SLA)
- Average Response Time to Support Inquiries and Bug Fixes <6 hours
- 8 Executive Business Reviews and ROI Analysis
- Refund Guarantee
- Implementation Guarantee
- ROI Guarantee
- On-site Support Available As Needed
- VIP Executive-Level Strategy Meetings
- Customer Executive Advisory Board (Invite Only)
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