The startup develops AI-powered healthcare assistants that automate claim processing for medical providers through features like AI-driven calls to insurance companies and automatic appeal generation. This technology reduces administrative workload and enhances claim reimbursement rates for medical practitioners.
Funding
$600K raised to dateRaised to date based on public sources. This may differ from the amount the company actually raised and is based only on what is publicly available on the internet.
Founders
Product
Problem
Healthcare providers face significant administrative burdens in managing and following up on insurance claims, leading to delayed payments and reduced revenue. Understaffing and the complexity of navigating payer systems further exacerbate these challenges.
Solution
Amperos Health offers an AI-powered solution that automates claim follow-up and denial management for healthcare providers. Their AI biller, Amanda, autonomously interacts with insurance companies via phone and payer portals to retrieve claim status, submit appeals, and request EOBs. The platform integrates with existing billing systems, allowing for bulk claim submissions and data exports. By automating these tasks, Amperos Health aims to increase collector productivity, reduce costs, and improve claim revenue.
Target Audience
Amperos Health primarily targets medical practitioners, revenue cycle management (RCM) teams, and healthcare organizations seeking to automate claim processing and improve reimbursement rates.
Features
- AI-driven phone calls to insurance companies for automated claim follow-up
- Autonomous navigation of IVR systems and conversations with insurance agents
- Extraction of claim information, including payment details and remark codes, from payer portals
- Automated appeal generation and submission
- Integration with existing EHR and PM software
- Secure file transfer protocol (SFTP) for claim data uploads
- Customizable claim status labels and call results
- Biller note read/write capabilities within the PM system
- Custom rules to mirror team workflows
- Custom filters and queues