Thoughtful AI is a healthcare technology company specializing in AI-powered revenue cycle automation. Founded in 2020 and headquartered in Austin, Texas, Thoughtful offers a platform that integrates artificial intelligence with traditional automation to streamline revenue cycle management (RCM) processes for healthcare providers.
Key Features and Offerings
Thoughtful.ai’s platform uses fully human-capable AI Agents to handle various RCM tasks, reducing manual effort and increasing efficiency. These AI Agents are built to operate seamlessly within existing healthcare systems, requiring no major infrastructure changes.
Some of the specialized AI Agents include:
- EVA – Manages eligibility verification, ensuring accurate coverage details to reduce claim denials.
- PAULA – Handles prior authorization workflows for timely and accurate submissions.
- CODY – Assists with medical coding and note review, enhancing accuracy in complex cases.
- CAM – Automates claims management to maximize reimbursement.
- DAN – Focuses on denial management by streamlining claim corrections.
- PHIL – Oversees payment posting with precision and speed.
The platform claims to significantly improve operational performance, such as reducing the cost to collect by over 78%, cutting days sales outstanding by more than 75%, and achieving clean claim rates up to 99%.
Recent Developments
In April 2025, Thoughtful.ai received a strategic investment from New Mountain Capital, a private equity firm with over $55 billion in assets under management. This funding is aimed at expanding Thoughtful.ai's impact in the healthcare sector and accelerating the adoption of its AI-driven automation tools.
