Reclaimly provides an AI‑driven collection agent that automates the entire patient payment workflow for healthcare providers. It analyzes bills, denials, and EOBs to create personalized outreach plans and engages patients via email, SMS, and human‑like phone calls, maintaining HIPAA‑compliant handling of health data. By operating largely on autopilot, the platform boosts recovery rates to around 85% while reducing manual effort for staff.
Funding
Funding not disclosed
Founders
Product
Problem
Medical providers often struggle to collect unpaid patient balances due to time‑consuming manual outreach, fragmented communication channels, and patients’ difficulty understanding billing details, leading to high write‑off rates and lost revenue.
Solution
Reclaimly offers an AI‑driven collection agent that automates the entire patient payment workflow. The system analyzes each bill, denial, and explanation of benefits to generate a personalized outreach plan, then engages patients via email, SMS, and human‑like phone calls. Its conversational AI can explain coverage, address objections, and adjust tone based on patient responses, while maintaining HIPAA‑compliant handling of health information. The platform coordinates all interactions in a single timeline and escalates only when necessary, allowing staff to focus on rare edge cases. By operating largely on autopilot, Reclaimly improves recovery rates to around 85%, significantly above the industry average.
Target Audience
Primary customers are outpatient clinics, hospitals, and other healthcare providers that bill patients directly and seek to reduce unpaid balances without adding staff workload.
Features
- AI analysis of bills, denials, and EOBs to create individualized payment plans
- Multi‑channel outreach (email, text, voice calls) with context‑aware, human‑like conversations
- Adaptive tone escalation and objection handling to maintain patient rapport
- Centralized communication timeline that updates based on coverage changes and patient replies
- Automated notifications for only high‑complexity cases such as large discounts or disputes
- HIPAA‑compliant data processing and secure integration with existing EHR systems