Athenahealth on June 3 unveiled a revenue cycle management roadmap featuring more than 80 AI-native capabilities built into its athenaOne platform, targeting high-friction administrative tasks such as insurance verification, coding, prior authorization and claim denials.
New and expanding capabilities include:
- Automated insurance selection, which uses AI to identify the correct insurance package from a picture of the patient’s insurance card.
- AI copay, which uses AI to evaluate full appointment context to generate the expected copay.
- Voice AI, which uses AI agents to place more than 23,000 prior authorization calls each month.
- Express coding, which leverages AI to automate medical coding and expedite the claims process.
- Expanded payer surveillance and anomaly detection, which uses continuous AI monitoring to surface payer rule changes as soon as they are made. AI also monitors every rejection and denial to make same-day updates to Athenahealth’s library of claim-processing rules to prevent future issues.
- Expanded denial resolution automation, which uses AI to generate claim corrections for coding denials.
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