cair-health

JSON twin: https://www.healthaidb.com/software/cair-health.json

Company Name

Cair Health

Product URL

https://www.cairhealth.com/feature

Company URL

https://www.cairhealth.com/

Categories

Summary

AI-powered revenue cycle management platform that automates medical claims submission, coding, denials management, eligibility checks and payer communications for provider organizations.

Description

Cair Health provides a suite of LLM-based 'AI agents' for healthcare revenue cycle operations — autonomous coding, claims preparation/submission, denials analysis and appeals, eligibility & benefits verification, payer phone calls, and EOB/payment posting. The platform ingests clinical notes, payer policies, real‑time eligibility data, X12/FHIR/EDI inputs and applies configurable rules to maximize first‑pass claim acceptance while maintaining HIPAA and SOC compliance.

Api Available

yes

Certifications

Company Founding

2023

Company Offices

Compliance

Customers

Data Residency

Data Standards

Deployment Model

Features

Id

P0261

Integration Partners

Integrations

Languages Supported

Last Updated

2025-09-07

License

commercial proprietary

Links

Market Segment

Optional Modules

Os Platforms

Pricing Details

Contact vendor for pricing; demo and implementation required. (No public pricing listed.)

Pricing Model

enterprise_quote

Privacy Features

Ratings

Regions Available

Release Year

2023

Security Features

Specialties

Support Channels

System Requirements

Target Users

Training Options

Type

product

User Reviews

Version

1.0

Canonical JSON

{
  "company_name": "Cair Health",
  "company_url": "https://www.cairhealth.com/",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2023",
  "product_url": "https://www.cairhealth.com/feature",
  "categories": [
    "administrative",
    "revenue cycle management",
    "claims automation",
    "denials management",
    "eligibility verification",
    "autonomous coding",
    "AI agents"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "links": [
    "https://www.cairhealth.com/",
    "https://www.cairhealth.com/feature",
    "https://www.cairhealth.com/about-us",
    "https://www.cairhealth.com/contact-us",
    "https://www.cairhealth.com/blog",
    "https://www.cairhealth.com/career",
    "https://www.linkedin.com/company/cair-health/",
    "https://www.ycombinator.com/companies/cair-health",
    "https://www.crunchbase.com/organization/cair-health"
  ],
  "summary": "AI-powered revenue cycle management platform that automates medical claims submission, coding, denials management, eligibility checks and payer communications for provider organizations.",
  "description": "Cair Health provides a suite of LLM-based 'AI agents' for healthcare revenue cycle operations — autonomous coding, claims preparation/submission, denials analysis and appeals, eligibility & benefits verification, payer phone calls, and EOB/payment posting. The platform ingests clinical notes, payer policies, real‑time eligibility data, X12/FHIR/EDI inputs and applies configurable rules to maximize first‑pass claim acceptance while maintaining HIPAA and SOC compliance.",
  "target_users": [
    "medical billers",
    "revenue cycle teams",
    "clinic/hospital administrators",
    "coders",
    "practice managers",
    "clinicians (for chart/coding review)",
    "finance teams",
    "health IT/integra tion engineers"
  ],
  "specialties": [
    "multi-specialty",
    "ambulatory care",
    "primary care",
    "specialty clinics",
    "FQHCs",
    "outpatient surgery",
    "behavioral health"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "enterprise_quote",
  "pricing_details": "Contact vendor for pricing; demo and implementation required. (No public pricing listed.)",
  "license": "commercial proprietary",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Eligibility verification (coverage, copay, deductible, coinsurance down to code)",
    "Automated claim submission (first-pass claims auto-submit)",
    "Autonomous coding for CMS-1500, UB-04, ADA, case rate (ICD/CPT/HCPCS)",
    "Denials management (ERA parsing, automated resubmission)",
    "EOB to ERA conversion and automated payment posting",
    "AI-powered payer phone calls for VoB and denials follow-up",
    "Real-time payer policy lookup",
    "Support for X12 EDI claims and ERAs",
    "Metrics/dashboard (charge lag, automation %, GCR)",
    "Pre-built and on-demand EHR integrations via APIs"
  ],
  "optional_modules": [
    "Autonomous coding agent (CLARK)",
    "Eligibility agent (ELLA)",
    "Claims processor agent (CHLOE)",
    "Denials specialist agent (DENNIS)",
    "Payer phone-call agent (PAIGE)",
    "EOB extractor/convertor (EVE)"
  ],
  "integrations": [],
  "data_standards": [
    "X12 EDI (837, 835/ERA)",
    "FHIR resources",
    "ICD-10",
    "CPT",
    "HCPCS"
  ],
  "api_available": "yes",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "SOC (SOC standards)"
  ],
  "certifications": [],
  "security_features": [
    "Data encryption (in transit & at rest)",
    "Audit logging",
    "Access controls / role-based access"
  ],
  "privacy_features": [
    "Data not used to train LLMs",
    "BAA available"
  ],
  "data_residency": "",
  "customers": [],
  "user_reviews": [],
  "ratings": [],
  "support_channels": [],
  "training_options": [],
  "release_year": "2023",
  "integration_partners": [],
  "id": "P0261",
  "slug": "cair-health",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-09-07",
  "links_json": {
    "self": "https://www.healthaidb.com/software/cair-health.json"
  }
}