CareLumi provides an AI‑driven platform that automates provider credentialing and compliance tracking by ingesting data from CAQH, state boards, and payer portals and syncing it with EHR and practice‑management systems. The system continuously monitors licenses, certifications and permits, generates renewal alerts, and creates audit‑ready documentation, cutting enrollment cycles to 60 days or less and reducing revenue‑at‑risk exposure for multi‑specialty groups and ambulatory providers.
Funding
Funding not disclosed
Founders
Product
Problem
Healthcare organizations rely on manual credentialing and compliance tracking, which creates lengthy enrollment cycles, duplicate data entry, and frequent billing interruptions when licenses or payer registrations lapse. These operational bottlenecks expose providers to revenue loss and increase audit risk.
Solution
CareLumi delivers an AI‑native platform that automates the entire credentialing lifecycle—from CAQH, state board, and payer portal data ingestion to application submission—reducing enrollment time to 60 days or less. Its autonomous agent, Carl, continuously monitors licenses, certifications, DEA/NPI updates, and facility permits, flagging expirations and generating renewal reminders before they affect billing. All data are stored in a single compliance hub that syncs in real time with EHR, practice‑management, and RCM systems, eliminating duplicate entry. The platform also produces audit‑ready packets and on‑demand compliance reports, keeping scheduling teams and regulators satisfied without manual effort. By leveraging parallel processing and AI‑driven primary‑source verification, CareLumi minimizes revenue‑at‑risk exposure and scales across multi‑state, multi‑specialty operations.
Target Audience
Primary customers are multi‑specialty physician groups, ambulatory surgery centers, behavioral health networks, urgent‑care chains, and home‑health/hospice providers that need fast, reliable provider enrollment and ongoing compliance management.
Features
- AI agent Carl that auto‑populates credentialing applications by connecting to CAQH, state medical boards, payer portals, and existing practice systems
- Parallel, feel‑free submission to all payer networks, cutting average enrollment from 120+ days to ≤60 days
- 24/7 license and certification monitoring with predictive expiration alerts and automated renewal workflow orchestration
- Centralized document repository with version control, secure HIPAA‑compliant storage, and one‑click audit packet generation
- Real‑time compliance dashboard offering status heatmaps, risk scoring, and customizable reporting for providers, facilities, and payers
- API‑based integrations with major EHRs and practice‑management platforms (e.g., athenahealth, Kareo, AdvancedMD, DrChrono) to ensure data consistency
- Multi‑state licensing automation, including IMLC processing and state‑specific CME tracking
- Delegated credentialing support for large groups, handling roster file maintenance and bulk submissions