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AI-powered workflow automation for US healthcare providers.
AI-powered automation for US healthcare provider workflows like patient intake, eligibility and benefits checks and billing using data-driven approaches. If you know senior execs in medical groups or partners in healthcare PE please do connect us. We won’t waste their time: +1 628 468 3232.
Fuse is a healthcare automation platform focused on end-to-end insurance checks, billing, and revenue intelligence for healthcare providers. It automates CPT-level benefits verification, patient cost estimates, claims submission, and provides a revenue intelligence dashboard to optimize collections and denials management.
Fuse integrates with existing EMR systems to automate insurance checks, CPT-level benefits verification, patient cost estimates, claims submission, and revenue intelligence. After onboarding, Fuse pulls needed data from the EMR, analyzes payer portals and adjudicated claims data, and automates workflows without requiring a software install or platform switch. Real-time checks verify benefits per CPT code, generate upfront patient pricing, scrub and auto-submit claims with high first-pass automation, and consolidate payments, denials, and contract performance into a unified revenue dashboard accessible to Owners, RCM leaders, and CFOs.
Who it’s for: Owners, RCM leaders, and CFOs at healthcare practices and organizations (specialties listed include behavioral health, women's health, physical therapy, neurology, pain management, sleep medicine, orthopedic surgery, ambulatory surgery centers, holistic care, private practices).
Customer references/testimonials, product certifications (HIPAA Compliant, SOC2 Type II), and a demand-generation offer (free revenue intelligence report) indicate traction and commercialization intent.
Sho is a repeat founder. He co-founded and scaled a fintech startup to multi-million $ ARR within twelve months from launch and eventual profitability. Before that, he worked on data analytics projects at McKinsey for some of the largest healthcare systems in the world, including the NHS and several of the top ten private healthcare insurers. He studied at Cambridge and the Karolinska Institutet. He is originally from Japan.
Oscar has built large-scale payments and credit data analytics models that outperformed incumbents like Experian by a significant margin. These models helped power the first startup he co-founded and scaled to a multi-million $ run rate. Before tech, Oscar was a post-doc researcher and completed an MEng and PhD in Machine Learning and Computational Physics at Cambridge. He’s worked in research divisions for companies like McLaren F1 and Dyson, applying machine learning to complex data problems.
AI-powered contract and remittance analytics to detect insurance underpayments.
Fuse offers AI-powered analysis of healthcare contracts and payments to help providers detect underpayments and collect revenue from insurers. The product uses LLMs to extract contract data, reconcile it with remittances, identify underpayments, and auto-generate appeals for healthcare providers and revenue teams.
AI for streamlining healthcare paperwork
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