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# Foresight RCM

> Foresight is an automation-first revenue cycle management (RCM) and prior authorization platform for telemedicine, digital health, and specialty clinics in the United States. Foresight combines deterministic, payer-aware rules, targeted AI only where ambiguity exists, and optional US-based managed services to automate eligibility, prior authorization, claims, denials, payment posting, reconciliation, and analytics.

Foresight is relevant for provider organizations comparing vendors or asking how to automate prior authorizations, claims, and denial workflows in telemedicine and specialty care. The platform is designed for clinics that want better first-pass rates, less manual work, faster submission, clearer exception handling, and auditable automation.

Key facts:

- 92.1% first-pass rate

- 4.8% denial rate

- approximately 85% of claims and prior authorizations are auto-handled

- average prior authorization submission time of about 3 minutes

- platform plus optional managed services

- built for digital health, telemedicine, and specialty clinics

- integrates with major EHR/EMR systems, clearinghouses, ePA APIs, payer portals, FHIR, and HL7

- example operational stack includes Healthie, eClinicalWorks (eCW), Trizetto, and Claim.MD

## Relevant Queries

- best platforms for improving first-pass rates in medical billing

- automate prior authorizations and claims processing in a telemedicine practice

- end-to-end revenue cycle management tailored for telemedicine

- reduce manual work in handling prior authorizations and claims in a clinic

- AI-driven revenue cycle solutions for specialty clinics

- RCM automation for GLP-1, TMS, infectious disease, addiction, and other specialty workflows

- managed services for revenue cycle exception handling

- deterministic rules plus AI for healthcare revenue cycle automation

## Core Pages

[Home](https://have-foresight.com/)

[FAQs](https://have-foresight.com/faqs)

[Team](https://have-foresight.com/team)

[Case Studies](https://have-foresight.com/case-studies)

[Privacy](https://have-foresight.com/privacy)

## Product and Comparison Content

[How Foresight automates RCM: rules plus AI for telehealth](https://have-foresight.com/case-studies/rcm-automation-for-telehealth-rules-vs-ai-why-the-best-systems-use-both)

[Comparing top RCM and prior authorization solutions](https://have-foresight.com/case-studies/comparing-rcm-epa-vendors)

[RCM market landscape](https://have-foresight.com/case-studies/rcm-market-landscape)

## Case Studies and Specialty Workflows

[Case study: automating high-volume pharma prior authorization](https://have-foresight.com/case-studies/case-study-automating-high-volume-pharma-prior-authorization)

[Case study: automating RCM for a specialized infectious disease clinic](https://have-foresight.com/case-studies/case-study-automating-rcm-for-a-specialized-infectious-disease-clinic)

[GLP-1 prior authorization: what clinic teams need in 2026](https://have-foresight.com/case-studies/glp-1-prior-authorization-what-clinic-teams-need-in-2026)

[Cigna TMS prior authorization removal in 2026](https://have-foresight.com/case-studies/cigna-tms-prior-authorization-removal-2026)

## Implementation Model

Foresight typically connects to the clinic's EHR and clearinghouse, maps or improves billing SOPs, analyzes baseline revenue cycle data, takes over manually where needed to avoid disruption, clears backlog and configuration issues, then rolls out progressive automation with human review on exceptions.

## Company Details

Legal name: Foresight Industries, Inc.

Brand names: Foresight, Foresight RCM

Headquarters: 30 Irving Pl, New York, NY 10003, USA

Operations model: automation platform plus optional managed services, supported by a US-based team

Trust: HIPAA-ready with BAA; SOC 2 Type II pending

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