AI as it was Intended™

Agentic AI for Healthcare Payments

Designed by physicians for physicians

Developed by academic experts in medical billing

Guided by public health experts who know how to improve the system in harvestable ways

We build AI agents that help healthcare organizations get paid correctly, reduce avoidable payment work, and protect patients from billing failures.

  • HIPAAAligned
  • PHIPAAligned
  • SOC 2In progress
  • <1 HourSupport response

What we are building

U.S. preventive billing intelligenceCanadian physician billing automationAgentic infrastructure across payment workflows
Agents at workEligibility verified · preventive benefits confirmed

Our engineering

Proprietary modelsEngineered agentic harnesses

A frontier model on its own doesn't get a claim paid. We engineer the system around it: proprietary payer-rule models, an in-house agentic harness, and model-agnostic orchestration that blends the best frontier AI with deterministic rules. Every code is reasoned, verified and ready for your approval.

1

Payer-rule models

Fee schedules and payer policies encoded as deterministic models, so every code is checked, not guessed.

2

Agentic harness

Purpose-built orchestration that gives each agent the right tools, context and limits for billing.

3

Guardrails

Validation on every suggestion, a rules-engine fallback, and your approval before anything is submitted.

4

Evaluation

Every release is benchmarked end to end, from clinical note to claim, before it reaches a clinic.

How the agents work

A team of AI agents, talking to each other

Aletheia is not one model — it's a coordinated system of specialized agents. Each one owns a step of the billing lifecycle, hands its work to the next, and reports up to a supervisory agent that enforces guardrails and learns from every claim. Here's the flow for a single encounter.

Supervisory Agent · coordinates every agent + enforces guardrails
Clinical EncounterSOAP note + diagnoses
Compliance AgentClassifies the payer + flags coverage rules
Coding AgentRules-based CPT, ICD-10 + modifiers
Chargemaster AgentReconciles charges to your fee schedule
Claim Builder AgentBuilds the CMS-1500 / 837P claim
Clean ClaimReady for your approval
When a claim is deniedResolution AgentReads the denial codes and drafts the appeal
Across every claimData Intelligence AgentFinds revenue leakage and care gaps clinic-wide
Agents communicating
EHR→ComplianceAnnual wellness visit documented · SOAP note + diagnoses received