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About

Encipher Health is a comprehensive AI-powered healthcare technology platform that automates medical coding, risk adjustment, and revenue-cycle processes across specialties. Using Neuro-Symbolic AI, OCR, ML, and knowledge-graph logic, it converts unstructured clinical documentation into accurate, audit-ready codes (CPT, ICD-10, HCC, HCPCS) while enforcing payer, CMS and compliance rules. Its products — including GI coding automation, radiology coding (Conrad AI), anesthesia coding (Sedate AI), HCC/risk adjustment (Cogent AI / RiskGen‑Core / RAF Totalizer), E/M coding, home-health coding, ICD-10-AM support, AR follow-up and denial resolution — streamline workflows, reduce manual effort, minimize denial risk, and accelerate reimbursements. Real-time and retrospective workflows, seamless EHR integration, MEAT-criteria validation, modifier logic, and compliance guardrails ensure high accuracy, regulatory alignment and audit readiness.

About

elsai Prior Authorization Agent automates payer requirement checks, documentation validation, packet assembly, AIR handling, and workflow orchestration for healthcare RCM teams. It helps providers reduce delays, incomplete submissions, repeat AIR cycles, and administrative burden while working alongside existing EHR and RCM systems. Built on governed AI workflows with auditability, guardrails, and human oversight.

Platforms Supported

Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook

Platforms Supported

Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook

Audience

Providers, Health Plans, Payers, ACOs and Billing and Coding Companies

Audience

Enterprises, healthcare organizations, BFSI companies, life sciences teams, logistics providers, IT leaders, AI engineering teams, compliance teams, and digital transformation teams.

Support

Phone Support
24/7 Live Support
Online

Support

Phone Support
24/7 Live Support
Online

API

Offers API

API

Offers API

Screenshots and Videos

No images available

Screenshots and Videos

Pricing

No information available.
Free Version
Free Trial

Pricing

No information available.
Free Version
Free Trial

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

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Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

Review this Software

Training

Documentation
Webinars
Live Online
In Person

Training

Documentation
Webinars
Live Online
In Person

Company Information

Encipher Health
Founded: 2023
United States
www.encipherhealth.com

Company Information

elsai
Founded: 2007
India
www.elsai.ai

Alternatives

Alternatives

AuthParency

AuthParency

Oncospark
Infinx

Infinx

Infinx Healthcare
Context 4 Health Plans Suite

Context 4 Health Plans Suite

Context4 Healthcare

Categories

Categories

Integrations

No info available.

Integrations

No info available.
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Claim Encipher Health and update features and information
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