JSON twin: https://www.healthaidb.com/software/thoughtful-ai.json
Thoughtful AI
https://www.thoughtful.ai/platform/revenue-cycle-automation
Thoughtful Ai is an AI platform that automates healthcare revenue cycle management (RCM) using task-specific AI Agents to handle claims, eligibility, prior authorization, denials, coding, payment posting, and accounts receivable.
Commercial SaaS AI operating system for healthcare RCM that provides configurable AI Agents to automate eligibility verification, prior authorizations, claims processing, denials management, coding and notes review, payment posting and accounts receivable; integrates with EHRs, practice management systems and payer portals; SOC2 & HIPAA compliant.
yes
2020
P1655
2025-09-07
commercial proprietary
Tiered plans (Pro, Premium, Enterprise, Concierge/SmartAccess) listed on vendor site; public pricing not posted — contact vendor for demo and quote; limited-availability plan offers performance guarantees.
enterprise_quote
2020
product
1.0
{
"company_name": "Thoughtful AI",
"company_url": "https://www.thoughtful.ai",
"company_offices": [
"United States"
],
"company_founding": "2020",
"product_url": "https://www.thoughtful.ai/platform/revenue-cycle-automation",
"categories": [
"administrative",
"revenue cycle automation",
"revenue intelligence",
"enterprise automation",
"billing",
"claims management"
],
"market_segment": [
"enterprise",
"smb"
],
"links": [
"https://www.thoughtful.ai",
"https://www.thoughtful.ai/about",
"https://www.thoughtful.ai/platform/revenue-cycle-automation",
"https://www.thoughtful.ai/platform/integrations",
"https://www.thoughtful.ai/trust-and-security",
"https://www.thoughtful.ai/docs/introduction-to-thoughtful-ai",
"https://elion.health/products/thoughtful-ai",
"https://www.crunchbase.com/organization/thoughtful-automation",
"https://www.businesswire.com/news/home/20240716834123/en/Thoughtful-AI-Launches-Human-Capable-AI-Agents-Raises-%2420m-in-New-Funding"
],
"summary": "Thoughtful Ai is an AI platform that automates healthcare revenue cycle management (RCM) using task-specific AI Agents to handle claims, eligibility, prior authorization, denials, coding, payment posting, and accounts receivable.",
"description": "Commercial SaaS AI operating system for healthcare RCM that provides configurable AI Agents to automate eligibility verification, prior authorizations, claims processing, denials management, coding and notes review, payment posting and accounts receivable; integrates with EHRs, practice management systems and payer portals; SOC2 & HIPAA compliant.",
"target_users": [
"revenue cycle managers",
"billing and coding staff",
"finance and accounting teams",
"health system administrators",
"IT/integration teams",
"clinical operations leaders"
],
"specialties": [
"revenue cycle management",
"medical billing",
"medical coding",
"claims processing",
"denials management",
"prior authorization",
"eligibility verification",
"accounts receivable",
"payment posting",
"revenue intelligence"
],
"regions_available": [
"United States"
],
"languages_supported": [
"English"
],
"pricing_model": "enterprise_quote",
"pricing_details": "Tiered plans (Pro, Premium, Enterprise, Concierge/SmartAccess) listed on vendor site; public pricing not posted — contact vendor for demo and quote; limited-availability plan offers performance guarantees.",
"license": "commercial proprietary",
"deployment_model": [
"SaaS",
"hybrid"
],
"os_platforms": [
"Web"
],
"features": [
"Eligibility verification (AI-driven)",
"Prior authorization automation",
"Coding and notes review",
"Claims processing (cleaning and submission)",
"Denials management",
"Accounts receivable automation",
"Payment posting",
"Pre-built workflows and templates",
"EDI transaction handling (837/835/270/271/278/276/277/834/820/864)",
"Real-time data synchronization",
"Audit trails and reporting",
"Customizable AI agents/workflows",
"Scalability and enterprise deployment",
"Reconciliation and financial reporting",
"Risk and compliance controls"
],
"optional_modules": [
"Revenue Intelligence / analytics",
"Enterprise-wide automation",
"Custom integrations/workflow connectors"
],
"integrations": [
"Epic",
"Cerner",
"Meditech Expanse",
"NextGen",
"eClinicalWorks",
"AdvancedMD",
"CareCloud",
"Kareo",
"Waystar",
"NetSuite",
"Sage Intacct",
"Salesforce",
"Workday",
"Quest Diagnostics",
"RingCentral",
"Box"
],
"data_standards": [
"X12 EDI (837, 835, 276/277, 270/271, 278, 834, 820, 864)",
"HL7 v2",
"FHIR"
],
"api_available": "yes",
"system_requirements": "",
"compliance": [
"HIPAA",
"SOC 2 Type II",
"HITECH"
],
"certifications": [
"SOC 2 Type II"
],
"security_features": [
"Encryption at rest and in transit",
"Multi-factor authentication (MFA)",
"Role-based access controls",
"Firewalls and IDS/IPS",
"Vulnerability monitoring and remediation",
"Audit logging"
],
"privacy_features": [
"BAA available",
"Customer data remains within customer's secure environment during implementation",
"Privacy policy and training",
"Access controls and restricted production deployment access"
],
"data_residency": "",
"customers": [
"Signature Dental Partners",
"Allegiance Mobile Health",
"Trumpet Behavioral Health",
"MB2 Dental",
"Butterfly Effects",
"Gembah",
"People Care",
"Elite DNA Behavioral Health",
"Easterseals Central Illinois",
"Behavioral Health Works",
"Keplr Vision",
"Ally Pediatric",
"Harris, Sheaffer LLP",
"Flux Resources"
],
"user_reviews": [],
"ratings": [
"Glassdoor 4.3/5 (employee reviews)"
],
"support_channels": [
"email",
"phone",
"chat",
"ticketing",
"documentation",
"community"
],
"training_options": [
"documentation",
"webinars",
"live_online"
],
"release_year": "2020",
"integration_partners": [
"Bunch Digital",
"Smarter Technologies"
],
"id": "P1655",
"slug": "thoughtful-ai",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/thoughtful-ai.json"
}
}