Deliver technology-driven AI solutions to streamline business operations

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Kamal Raj, President and CEO

Founded in 2019, Waterlabs AI is driven by the mission to help healthcare organizations, payers and their partners streamline operations, identify financial risk and retain their most valuable healthcare consumers using technology state-of-the-art AI. The company is the brainchild of Kamal Raj, who worked for years at some of the top RCM healthcare companies.

During his time, Raj witnessed organizations struggle to properly manage their revenue cycle due to their reliance on manual processes. Even existing technologies were not capable enough to automate critical operations while ensuring the security of patient information. Driven by a desire to change the status quo, Raj, along with a team of seasoned industry experts, laid the foundation for Waterlabs AI.

Waterlabs AI has introduced a fully AI-enabled cloud-based RCM workflow platform that allows its customers to automate their processes without accessing data. This workflow solution also incorporates an AI-enabled RPA capable of handling information and voice calls. This highly integrated automation platform is already used by several large clients who process insurance claims using one tenth of the staff and, due to the pinpoint accuracy, enjoys a percentage of front-end rejections when claims are submitted to the clearing house. As medical institutions are highly regulated and have to comply with several guidelines in terms of accessing patient data, Waterlabs AI provided a solution that automates processes in healthcare institutions without accessing any critical data.

“We are the only organization capable of automating processes in a ‘dataless’ environment. Our platform does not access any data and just filters the processes and automates them using our patented AI technology. We also offer an AI-powered workflow solution to hospitals, clinics, and billing offices that are already pre-connected to over 1800 insurance carriers in the United States. Thus, our workflow solution gives its users the ability to check the status of claims, resubmit them, withdraw EOBs and process them efficiently and reduce their AR days. With population growth and immense pressure on the existing healthcare system, it is high time to adapt to automatic AI solutions. To this end, we have done our best by developing innovative AI models and intelligent AI robots,” says Raj, who is currently serving as the President and CEO of Waterlabs AI.

Many healthcare companies have a long history of handling claims or even basic tasks such as converting data into invoices and manually submitting them to insurance companies. Considering the massive number of patients that a hospital, clinic, and labs process in a day, it is not possible for their staff to manually file all the claims efficiently. This not only takes up time and delays claims, but also leads to inaccuracies in their filing and many claims are returned as initial rejections. “With our platform, we have automated all these processes. We have over 1800 insurance companies integrated into our AI platform and we may have the capacity to process 2 million claims every day. Unlike the traditional process where professionals in a hospital’s billing department have to verify each patient’s claims through the insurance companies’ website or by contacting their customer service team via a voice call, we’ve integrated everything into our patented AI platform that can make the right decision itself and process them appropriately on the practice management system. Our HINES gateway solution can provide claim status for your entire inventory in seconds and RPA automated payment posting starts simultaneously. This speed allows our clients to track unresolved claims and act on pending payments faster, as well as instantly post payments to their practice management systems through our AI-enabled RPA integrated into the workflow that works around the clock,” says Raj.


We are the only organization capable of automating healthcare RCM processes in a “data-free” environment

To put it into perspective, for one of the major health insurance companies, we are the only organization capable of automating processes in a “no data” environment. Our platform does not access any data and just filters the processes and automates them using our patented AI technology. We also offer an AI-enabled workflow solution to hospitals, clinics, and billing offices that are already pre-connected to over 1800 insurance carriers in the United States. Thus, our workflow solution empowers its users to check the status of claims, resubmit them, extract EOBs and process them efficiently, and reduce their AR days.

Truly, Waterlabs AI is completely changing the way people work today in the healthcare payer and provider space by giving more meaning to the day-to-day activities of employees. This saves customers nearly 50% of additional expenses. “We take every challenge seriously and conduct our R&D to find the best solution and customize it based on customer requirements,” says Raj.

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