Taiga is an AI-native medical billing service for independent healthcare practices, handling coding, claim submission, denial management, and patient statements end-to-end. The platform integrates with existing EHRs like DrChrono and athenahealth, scrubs claims against payer rules, and appeals denials automatically. Taiga's AI reads clinical notes within minutes of close, enabling same-day claim submission for standard encounters.
Funding
Funding not disclosed
Founders
Product
Problem
Independent healthcare practices lose significant time and revenue to manual medical billing workflows. Claims frequently fail first-pass due to complex payer rules, and roughly half of denied claims are never resubmitted, leading to delayed payments and increased accounts receivable aging.
Solution
Taiga provides an AI-native managed billing service that handles the entire revenue cycle end-to-end. The platform integrates directly with existing EHRs to read patient, visit, and documentation data, then performs pre-visit eligibility checks, note scrubbing for medical necessity, and claim scrubbing to ensure 98% of claims are structured to pay without intervention. When denials occur, Taiga automatically appeals payer mistakes and reconciles payments through ERA, feeding lessons learned back into the system to improve future claim accuracy. Practices hand off billing entirely, freeing staff to focus on patient care.
Target Audience
Independent healthcare practices, including therapy, primary care, and specialty clinics, that want to outsource medical billing and reduce administrative burden.
Features
- EHR integration with DrChrono, athenahealth, eClinicalWorks, and other systems, eliminating manual chart exports
- Pre-visit checks for eligibility, benefits, prior authorization, and referrals with patient cost estimates
- AI-driven coding that drafts ICD-10 and CPT codes from clinical notes, with physician review and approval before submission
- Automated claim scrubbing against payer-specific rules, NCCI edits, and modifier checks at submission time
- Denial management with automatic appeals for payer mistakes and persistent claim issues
- ERA reconciliation that posts payments and feeds performance data back into the system
- Same-day or next-day claim submission for standard encounters, reducing days-to-drop to under 24 hours