Arithmedics develops AI-powered systems to streamline healthcare administration processes. The platform utilizes generative AI and data intelligence to minimize billing errors and reduce claim denials. This efficiency allows physicians to dedicate more time to direct patient care.
Funding
Funding not disclosed
Founders
Product
Problem
Medical practices spend extensive time on manual billing and coding tasks, leading to frequent billing errors and high claim denial rates that reduce revenue and increase administrative overhead.
Solution
Arithmedics offers an AI-powered platform that automates revenue cycle operations by applying generative AI and advanced data intelligence to clinical documentation. The system extracts relevant procedure and diagnosis information using natural‑language processing, generates compliant claim drafts, and validates coding against payer rules in real time. Predictive models score each claim for denial risk and suggest corrective actions before submission. All interactions are encrypted and stored in a HIPAA‑compliant cloud, while a web‑based analytics dashboard provides clinicians and billing staff with actionable insights and audit trails. Seamless integration with existing electronic health record (EHR) systems is achieved through standard FHIR APIs, enabling end‑to‑end workflow automation without disrupting current practice workflows.
Target Audience
The primary customers are outpatient medical practices and hospital revenue‑cycle management teams that handle high volumes of insurance claims and seek to reduce administrative costs while improving reimbursement rates.
Features
- Generative AI engine that drafts CPT/ICD‑10 coded claims directly from unstructured clinical notes
- NLP pipeline that extracts procedure details, modifiers, and patient identifiers with >95% accuracy
- Real‑time coding validation against payer-specific rule sets and automated error correction suggestions
- Predictive denial risk scoring using machine‑learning models trained on historical claim outcomes
- FHIR‑based bidirectional integration with major EHR platforms for seamless data exchange
- Secure, HIPAA‑compliant cloud infrastructure with end‑to‑end encryption and role‑based access controls
- Interactive dashboard offering claim status tracking, denial analytics, and revenue impact visualizations
- Continuous model retraining loop that incorporates feedback from claim adjudication results to improve accuracy over time