Enter Health

Enter Health is an AI-powered healthcare revenue cycle management (RCM) platform designed to optimize and automate the medical billing process for healthcare providers. It offers a comprehensive suite of solutions including automated claims creation and submission, payment posting, denial management with appeals, patient collections via SMS and email, and real-time reporting dashboards. The platform integrates seamlessly with various electronic health record (EHR) systems like eClinicalWorks and Allscripts or via API, providing transparent, efficient, and compliant billing workflows. Enter Health’s AI engine, ClaimAI, achieves high levels of automation and accuracy, boosting reimbursements by 15% to 40% and speeding up processing times by up to 50%, while also improving patient collection rates and reducing reliance on costly collection agencies.

Key Features

• Automated claim generation with compliance-specific chargemaster and payer contract rules.
• Real-time eligibility verification and coordination of benefits for patients with multiple insurance plans.
• Intelligent denial and underpayment management with automated follow-ups and appeals.
• Patient-focused collection tools using SMS/email outreach to increase revenue recovery.
• Integrations with leading EHR systems and access to detailed performance analytics.

Use Cases

• Hospitals, specialty clinics, and ambulatory surgery centers streamline their billing and collections workflows.
• Healthcare providers improve cash flow by accelerating claims processing and reducing denials.
• Revenue cycle management teams gain actionable insights and operational transparency through real-time dashboards.