The work around the care keeps growing.
Repetitive work, endless back and forth with payers, and money that arrives late or not at all.
Your best people spend their week on repetitive work
Chasing charts, re-keying data, calling payers, reworking claims. These are the hardest roles to hire for, and this is what they do all day.
One simple question takes weeks of back and forth
Eligibility, prior auth, clearinghouse rejections, remittances, appeals. Each step goes out and comes back, and the answer arrives long after it was useful.
By the time you find it, the money is gone
A care gap found after the measurement year is a score you can't fix. A denial found after the filing limit is cash you can't collect. Both started as work nobody had time to get to.
Protect your quality scores and revenue—autonomously
The 101genAI platform audits every interaction—clinical and administrative—to surface and resolve missing quality evidence and uncaptured revenue.
Monitor every source
Audit every clinical interaction and administrative workflow—from EHR records and billing feeds to clearinghouses and registries—into one patient knowledge graph.
Measure what moves the margin
Calculate performance across dQM, eCQM, MIPS, and adherence alongside revenue cycle metrics like coding precision, denial volumes, and aging accounts.
Analyze with evidence
Rank open items by financial impact. Surface care gaps threatening thresholds and recoverable denials breaking contracts, each with forensic audit trails attached.
Act in time to recover
Deploy agents to book screenings and automate appeals to capture revenue. Routine work runs autonomously, while sensitive clinical decisions route to your team.
Your data, your control
Privacy and security
SOC 2 Type II, GDPR, and HIPAA certified with end-to-end encryption
Flexible deployment
Self-hosted in your VPC or private cloud-your data never leaves your secure environment
Audit-ready
Every result keeps its full evidence trail and a locked audit log, so you can defend any number if a review asks
Role-based access
Role-based permissions, so each clinician, nurse, and admin sees only what their role needs
Integration Ready
Integration with health records, CRMs, cloud telephony, and cloud providers.
The problems we solve for our customers
Quality and Risk Management
Ensure call quality and completeness by auditing 100% of calls, rather than sampling just 5%.
Call Audit
Calls are evaluated in multiple languages to screen for appropriate patient evaluation and empathy, resulting in improved care quality, higher patient satisfaction scores, and reduced institutional risk.
Pharmacy Audit
Audit of order entry, dispensing, label accuracy, order pattens etc. to flag anomalies, incomplete documentation, and policy deviations ensuring consistent experience & quality scores across locations
Clinical Guidelines Adherence Monitoring
AI evaluation of clinical practice against local or national guidelines, enabling targeted workforce training for quality improvement.
Star Ratings and Performance Improvement
Automatically identify care gaps, monitor guideline adherence, and track provider performance on value-based care measures.
dQM
Continuous oversight of performance for effectiveness of care measures, enabling timely, automated interventions to improve overall dQM scores and payments.
CMS Star Rating
The platform supports quality leaders in improving the proportion of days patients are covered with medications, leading to improved CMS Star ratings and bonus payments.
MIPS
Track and improve performance in MIPS measures for physician practices.
Revenue Cycle Optimization
Maximize value-based reimbursements, validate coding accuracy, and identify undercoding opportunities.
Prior Authorization Audit
Our AI audits claims workflows to ensure claims are appropriately coded and processed, accelerating payer reimbursement.
Medical Coding Accuracy
Our AI platform ensures coding accuracy, and revenue integrity while eliminating undercoding opportunities and reducing denial rates through intelligent documentation analysis.
Billing & Claims Audit
Our multi-agent system ensures claims are appropriately coded and processed, accelerating reimbursement from payers.
Proven results across healthcare
Telehealth Communication Quality Improvement
A Nationwide Telehealth Provider
Manual auditing of provider-patient telehealth calls was catching only a small fraction of quality issues, leaving gaps in care delivery and potential risks undetected.
Deployed our multi-agent AI system to evaluate 100% of telehealth consultations for clinical completeness, empathy, and adherence to communication protocols.
Billing & Claims Audit
Healthcare Revenue Cycle Management Company
Manual claims processing created accuracy issues affecting speed of reimbursement.
Our AI audited claims workflows to ensure claims were appropriately coded and processed, accelerating payer reimbursement.
Prior-Authorization Audit
A Florida based Health System
Prior-authorization documents were audited manually to address an increase in denial rates, leading to heavy administrative burden.
Our AI engine audited eligibility and benefits verification, and reviewed clinical documentation for completeness and procedure necessity.
Building better healthcare outcomes through lived experience
We experienced firsthand how healthcare quality gaps, from missed screenings to documentation errors, impact patient care. We saw that health systems need comprehensive tools to monitor and improve quality at scale.
So we built one.
Drawing on our expertise from healthcare delivery, enterprise software, and AI, we created a platform that monitors every clinical interaction to identify care gaps before they impact patient outcomes.
Team with experience from
Backed by leaders from
