Cair Health

Active

AI Agents for Healthcare RCM

Summer 2023Founded 20236 peopleSan Francisco, CA, USA

www.cairhealth.com/ ↗LinkedIn ↗See on the Idea Map Healthcare momentum

About

Cair Health empowers billing companies, care management platforms, EHRs, offshore BPOs, provider groups, and specialty pharmacies with AI-driven RCM solutions. Our suite of AI Agents helps RCM teams streamline operations, reduce manual costs, and improve consistency—while maintaining full control over core workflows. Cair is trusted by 100+ practices across the country — including iconic VC-backed digital health startups, leading specialty EHRs, and some of the largest billing companies and BPOs Backed by Y Combinator, Foundation Capital, Soma Capital, Translink Capital & many others..

From their website

as of Jun 7, 2026www.cairhealth.com ↗

SaaSSubscription · Pricing details indicate a monthly minimum for full platform access with no collection fees, and usage/volume-based pricing with plan tiers (Core, Growth, Enterprise). Specific dollar amounts are not provided in the text.

Cair Health provides AI agents to automate and optimize revenue cycle management (RCM) for healthcare. Their platform uses multiple specialized LLM-powered agents to handle claims processing, denials, eligibility, EOB extraction, payer calls, and coding, with integrations to EHRs and clearinghouses.

The product automates claims management using a suite of AI agents: CLARK (Autonomous Coder), ELLA (Expert Eligibility Agent), CHLOE (Claims Processor), DENNIS (Denials Specialist), PAIGE (Payer Phone Call Agent), and EVE (EOB Extractor). It integrates with EHRs, EDI files, FHIR, or payer APIs, and supports 80+ integrations. The workflow includes data integration, rule setup, and dynamic worklists for billing teams, with automated claim submission, resubmission of denied/adjusted claims, and real-time monitoring to reduce leakage and improve first-pass reimbursements. Pricing is based on usage/volume with no collection fees, and plans offer scalable features for Core, Growth, and Enterprise tiers, including multi-EHR support and on-site options at higher tiers.

Who it’s for: Small clinics to large healthcare organizations seeking automated RCM improvements and denials management

Features

Autonomous coding and claims processing
Eligibility verification with real-time data
Denials management and automated resubmissions
EOB extraction and posting
Payer phone call automation
EDI, EHR, and FHIR integrations
Dynamic team worklists and analytics

Pricing page details, multi-tier plans (Core/Growth/Enterprise), onboarding/integration guidance, and references to a sandbox trial and ongoing support suggest early-to-growth stage traction with customer implementations and active hiring/company growth signals.