AI Powered by FinThrive Fusion^™

Transform Your Revenue Cycle with AI-Powered Intelligence

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Leverage AI Purpose-Built for RCM

FinThrive’s AI, powered by Fusion’s data intelligence platform, transforms complex, manual revenue cycle tasks into streamlined, autonomous workflows. By harnessing unified data from Fusion, our AI adapts, predicts and acts—freeing staff from repetitive work and accelerating cash flow.

Automate Decisions to Accelerate Outcomes

AI streamlines healthcare workflows, automating tasks and accelerating claims without manual intervention

Proactively Reduce Risk and Recover Revenue

Predictive denial prevention and cash flow forecasting safeguard revenue and reduce operational risk

Empower Your Staff to Focus on High-Value Work

AI and RPA automate routine tasks, freeing staff for strategic, value-driven initiatives

AI and Automation Features

Transform Complex, Manual Revenue Cycle Tasks

How does FinThrive Fusion enable transformative AI?

FinThrive Fusion provides a strong backbone for smarter, dynamic workflows, transforming intelligence into autonomous action and continuously learning to deliver agility and future-ready operations.

Transforms intelligence into autonomous action so you can automate decisions and reduce manual intervention
Adapts in real time to changes—whether it’s payer rules, claim status, or operational needs—so your automation stays dynamic and responsive

How does FinThrive Fusion enable transformative AI?

Transforms intelligence into autonomous action so you can automate decisions and reduce manual intervention
Adapts in real time to changes—whether it’s payer rules, claim status, or operational needs—so your automation stays dynamic and responsive

Agentic AI

How does agentic AI advance automation?

FinThrive’s agentic AI capabilities can perform complex tasks automatically, going beyond simple content generation to act on your revenue goals. Agentic AI breaks down a process into steps, executes actions and adapts in real time based on workflow changes, payer trends and trial-and error with minimal human intervention.

Automate complex workflows such as denial appeals and payer contract updates
Enhance productivity with minimal human intervention
Improve decision-making through real-time analysis

Embedded Automation

Does FinThrive integrate AI into solutions?

FinThrive’s AI-driven agents and workflows operate directly within our solutions, eliminating bolt-on tools and manual handoffs.

Seamless integration accelerates processes such as prior authorizations, denial management and appeals
Embedded AI agents and RPA bots automate complex, multi-step processes without hindering existing staff workflows and priorities

Secure and Private Data

How can I be sure my data is secure and private?

FinThrive doesn’t just check the box when it comes to secure and private data for your AI tools.

Our Quality and Trust Framework cleans PHI/PII before using data for AI training, automates live metrics and guardrails on LLM inputs/outputs and measures accuracy, relevance, bias, toxicity and hallucinations
We secure chat privacy by ensuring that prompts, completions and training data are not shared with other customers or third parties and forbidding the use of your chat data to improve models without explicit permission
Our governance policies guarantee that AI tools are for private use only, must follow strict security and compliance protocols and that each utilization has a designated owner and oversight by FinThrive’s CISO

Solid Partnerships. Solid Results.

$13

Save up to $13 per prior authorization using AI vs. manual processes

53%

Increase revenue by over 50% using AI-driven workflow sorting to find accounts most likely to return revenue

250 hrs

Save an average of 250 staff labor hours monthly via automated denial appeals

AI-Driven Transformation Across the Revenue Cycle

FinThrive AI goes beyond basic automation to deliver true transformation across the revenue cycle. Leveraging agentic AI for complex tasks, predictive analytics and advanced algorithms to support proactive revenue planning, and RPA bots to eliminate repetitive tasks, we help organizations optimize processes and protect margins.

Patient Access

Automation accelerates authorizations, eligibility checks and virtual intake—creating a faster, more seamless patient experience.

Prior authorization
Patient messenger chatbot
RPA bots to automate manual registration processes

Revenue Integrity

Automation improves charge accuracy—reducing errors and improving compliance.

RPA bots for automating charge entry
RPA bots for automating compliance

Revenue Optimization

Predictive AI and automation help prevent denials, streamline appeals and optimize cash flow for stronger financial outcomes.

Denial prediction
Bulk denial clustering
Appeals
Best opportunities workflows for insurance discovery
Cashflow forecasting
RPA bots for claims scrubbing, status follow-up and attachments

Agentic AI in Action

Showcase: FinThrive’s Intelligent Appeals Agent

Purpose

Manual appeals are slow and inconsistent, limiting recovery from denied claims. This solution automates and scales the appeals process.

How It Helps

Increases appeal volume, improves success rates and reduces manual effort.

What It Does

Combines machine learning (ML), generative AI and RPA to recommend strategies, draft letters and submit appeals. The Intelligent Appeals agent continuously improves by learning from outcomes, updating successful appeal data and incorporating industry guidelines to cite official criteria.