About Aletheia Health
Agentic AI for Healthcare Payments
Intelligence Powered by AI
We build AI agents that help healthcare organizations get paid correctly, reduce avoidable payment work, and protect patients from billing failures.
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 · orchestrates guardrails + learning
Clinical EncounterSOAP note + diagnoses
Compliance AgentVerifies eligibility + payer rules
Coding AgentGenerates CPT, ICD-10 + modifiers
Resolution AgentDrafts appeals + resubmissions
Clean ClaimSubmitted to payer
Remittance, denials + EHR outcomes flow back to retrain every agent
Agents communicating