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Stop losing money to broken revenue cycles

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1 min to submission

92% 1-st pass rate

85% autohandled

1 min to submission 92% 1-st pass rate 85% autohandled

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TOWARDS WORK-FREE RCM

The automation RCM & Prior Auth Platform for Telemedicine & Specialty Clinics

Stop managing fragmented vendors and manual queues. Foresight orchestrates your entire revenue cycle: from eligibility and prior auths to claims and denials, using deterministic rules and surgical AI automation tailored to your specific clinical area, processes and payer mix

A digital illustration showing a futuristic medical or healthcare technology scene. It features a holographic cube with floating crystal-like spheres above a glowing base, a stack of medical papers with a red cross on top, and a semi-transparent digital checklist or data display in the background.

How it works

  • A futuristic digital device with holographic screens illustrating an AI-powered prior auth and revenue cycle management (RCM) tool, and a cube projecting a geometric wireframe, on a flat surface.

    Custom, transparent Logic

    We don't just pull and submit data; we build apply custom rules derived from your specific set up and relationship with payers for maximum accuracy, handling all parts of the PA and RCM cycle

  • A futuristic digital device with holographic screens illustrating an AI-powered prior auth and revenue cycle management (RCM) tool, and a cube projecting a geometric wireframe, on a flat surface

    Proactive, not reactive

    We run dual-layer eligibility checks and determine PA requirements, co-pays, etc instantly. If a PA is needed, Foresight auto-compiles clinical evidence, submits it, and chases the status, gating the prescription or claim until approval is secured

  • A digital illustration showing a cube with a neural network inside, connected to a stack of servers. Green arrows indicate data flow from the cube to the servers, with a green checkmark signifying successful processing. illustrating an AI-powered RCM

    Smart Submissions

    Claims and PAs are scrubbed against payer-specific rules (not just generic formatting). We fix errors programmatically and route to the correct payer automatically. 90%+ of volume runs on autopilot. When an edge case occurs, it is surfaced in a prioritized queue with AI-suggested fixes

A screenshot of a medical review queue with two sections: 'Claims — Review queue' on the left and 'Prior auth — Review queue' on the right. The left section shows four claims with details and status, including claim numbers CLM-4002, CLM-4001, CLM-4005, and CLM-3220, with amounts ranging from $156.50 to $320, and all marked as 'Needs review' in orange. The right section shows five prior authorizations with details such as claim IDs, medications, patient names, and statuses, all marked as 'Needs review' in orange.

Prioritize what matters

Prioritize what matters

We do 95%, see clearly what your 5% is

We automate most PAs and claims. Whenever we need a human to intervene we show you the specific items which truly need your attention, ordered by value, ready to take action.

  1. Consolidated Workflow: Eligibility, PAs, and Claims in one view.

  2. Smart Routing: We handle the complexity of TPAs and carve-outs so you don't have to.

  3. Revenue Intelligence: Spot care gaps and under-utilized codes automatically to increase revenue per patient.

Clear actions

Clear actions

Targeted fixes + guardrails

Immediately see the specific fields that need fixing when human review is needed, making fixes clear and actionable. We hard-code your rules and use AI where strictly needed. We don't guess on eligibility or benefits; we execute logic you can audit

From start to volume

From start to volume

Built for High-Volume Care

Designed for digital health and multi-site clinics managing complex workflows like GLP-1s, TMS, or physical therapy. We handle the nuance of recurring visits, authorization limits, and specific documentation requirements that generic RCM tools miss

Custom-made for you

Custom-made for you

Like a custom in-house solution, without the pain

  • Custom analytics

  • Flat queues vs task assignment

  • Actionable insights and constant learing

    • Every denied claim costs you $48 on average to rework

    • 8% of your revenue disappears into billing complexity

    • Your best clinicians waste 2 hours daily on admin work

  • We use predictable, custom-built rules + AI only where needed to lift the workload of creating PAs or claims and submitting them off you. We integrate with all EHRs and submit claims and prior authorizations using clearinghouses, electronic prior auth APIs and prior authorization portals as needed for maximum coverage.

  • Other vendors promise AI magic. We deliver predictable revenue

    • Rules for what's certain (patient demographics, POS codes, time based E/M, etc.)

    • AI only where needed and when needed (e.g., ICD-10 and CPT codes)

    • Every decision traced and auditable

    • Submission and re-try playbooks per payer and clinical area

  • Turn denials from dead ends into dollars

    • We scan denial reasons to transform them into targeted fixes

    • E.g., CARC 197 → Missing auth → Auto-attach from ePA system → Resubmit → PAID

    • See denial patterns by payer, provider, while Foresight continuously learns and improves from past performance

Tap your revenue recovery potential

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