EN
登录

安培健康推出用于医疗保健提供商索赔拒绝和收款的多模态推理AI计费器

Amperos Health Launches Multi-Modal Reason AI Biller for Healthcare Provider Claims Denials and Collections

HIT 等信源发布 2025-06-04 13:55

可切换为仅中文


What You Should Know:

你应该知道的:

–   Today

– 今天

Amperos Health (Amperos)

安培罗斯健康(Amperos)

announces the launch of the world’s first multi-modal AI biller for healthcare providers, designed to combat denials and collect unpaid claims for revenue cycle management (RCM) teams.

宣布推出全球首款面向医疗保健提供商的多模态AI计费工具,旨在打击拒绝索赔行为并为收入周期管理(RCM)团队收取未付索赔。

– With teams drowning in manual tasks to just gather the information needed to work denials, Amperos stands alone with its multi-modal platform, putting its AI coworker Amanda to work across both calling and insurance portals.

– 由于团队淹没在手动任务中,只为收集处理拒绝所需的信息,Amperos凭借其多模式平台独树一帜,将其人工智能同事Amanda应用于电话沟通和保险门户等多个领域。

Amperos Health: AI-Powered RCM Automation for a Broken Claims System

安培健康:针对支离破碎的理赔系统的人工智能驱动的收入周期管理自动化

Amperos Health is a New York-based healthtech company pioneering the first multi-modal AI biller purpose-built for revenue cycle management (RCM) teams. Designed to combat rising insurance denials and streamline claims processing, Amperos delivers a HIPAA-compliant, bank-grade secure platform that enables providers to resolve 2–5x more denials, recover significantly more revenue, and enhance RCM team productivity.

Amperos Health 是一家总部位于纽约的健康科技公司,率先推出了首个专为收入周期管理 (RCM) 团队设计的多模态人工智能账单处理系统。该系统旨在应对日益增多的保险拒付问题并简化理赔流程,提供符合 HIPAA 标准、银行级别的安全平台,帮助医疗机构解决 2 到 5 倍以上的拒付问题,回收更多收入,并提升 RCM 团队的工作效率。

Since its founding in 2023, Amperos has automated over 75,000 calls—equivalent to the workload of 60 full-time billers—and helped clients recover $120 million in annual revenue..

自 2023 年成立以来,Amperos 已自动化处理超过 75,000 个电话——相当于 60 名全职计费员的工作量——并帮助客户挽回了 1.2 亿美元的年度收入。

At the core of Amperos’s offering is “Amanda,” an AI coworker trained by experienced healthcare billers to manage high-volume, low-value claims interactions. Amanda combines voice and browser-based automation to handle two essential tasks:

安培罗斯(Amperos)产品核心是“Amanda”,这是一位由经验丰富的医疗账单员训练的AI同事,用于处理大批量、低价值的理赔交互。Amanda结合了语音和基于浏览器的自动化技术,能够完成两项重要任务:

·       She autonomously conducts follow-up calls with insurance companies regarding outstanding or denied claims, saving billers hundreds of hours daily.

她自主地与保险公司进行后续电话沟通,处理未决或被拒绝的索赔,每天为账单处理人员节省数百小时。

·       She natively navigates payer portals to retrieve claim statuses and pull key denial or payment information.

·       她熟练地浏览支付方门户,获取理赔状态并提取关键的拒绝或付款信息。

Amanda’s multi-modal intelligence enables her to act across systems—cross-referencing data from web portals with real-time phone conversations to adjudicate claims more effectively. She then consolidates this information into the Amperos platform, enabling human billers to focus their expertise on complex, high-impact cases.

阿曼达的多模式智能使她能够在系统间行动——将来自网络门户的数据与实时电话交谈进行交叉引用,以更有效地裁决索赔。然后,她将这些信息整合到安培罗斯平台中,使人类账单处理人员能够专注于复杂、高影响的案例。

Unlike many healthcare AI solutions that require extensive scripting and onboarding, Amanda is fully functional out of the box—no custom configuration or lengthy implementation process required..

与许多需要大量脚本编写和培训的医疗保健人工智能解决方案不同,Amanda开箱即用——无需自定义配置或漫长的实施过程。

Addressing the RCM Crisis in U.S. Healthcare

解决美国医疗保健中的RCM危机

Amperos emerges at a time of growing instability in the healthcare revenue cycle. Several interlinked challenges underline the urgency of intelligent automation:

安培罗斯出现在医疗保健收入周期日益不稳定的时期。几个相互关联的挑战突显了智能自动化的重要性:

·       Insurance denial rates are increasing 10% annually, with 15% of claims initially rejected.

保险拒赔率每年增加10%,其中15%的索赔最初被拒绝。

·       These denials represent over $200 billion in lost revenue each year, even as $26 billion is spent on adjudication and collections—despite 70% of denied claims ultimately being overturned.

·       这些拒付每年造成超过2000亿美元的收入损失,尽管在裁决和收款上花费了260亿美元——即便70%的被拒赔案件最终被推翻。

·       Staffing shortages remain a major obstacle, with 63% of RCM teams reporting understaffing and turnover rates ranging from 11–40% annually.

人员短缺仍然是一个主要障碍,63%的RCM团队报告人手不足,员工流失率每年在11%到40%之间。

·       Flat reimbursement rates coupled with rising operational costs are pushing clinics—especially small and rural providers—to reduce services or shut down entirely.

·       平均报销率与不断上升的运营成本相结合,正迫使诊所——尤其是小型和农村医疗机构——减少服务或完全关闭。

·       Existing RCM infrastructure is outdated and vulnerable. The Change Healthcare cyberattack that paralyzed claim processing for months forced providers to take on debt just to stay operational.

现有的RCM基础设施已经过时且脆弱。Change Healthcare遭遇的网络攻击使索赔处理瘫痪数月,迫使供应商背负债务以维持运营。

Leadership & Funding

领导与资金

The Amperos team brings cross-sector expertise in AI, healthcare, and enterprise systems:

Amperos团队在人工智能、医疗保健和企业系统方面具有跨领域的专业知识:

·       CEO Michal Miernowski offers a decade of investment and advisory experience in healthcare and financial services.

·       首席执行官米哈尔·米尔诺夫斯基在医疗保健和金融服务领域拥有十年的投资和顾问经验。

·       CPO Alvin Wu previously led product and engineering teams at companies including Samsara, Fitbit, and Backbone.

·       首席产品官(CPO)吴阿尔文曾领导过包括Samsara、Fitbit和Backbone等公司的产品和工程团队。

·       CTO Wilson Wang, an early innovator in LLM and voice agent development, formerly worked at Amazon.

·       首席技术官王威尔逊是LLM和语音代理开发的早期创新者,曾任职于亚马逊。

The company recently closed a $4.2 million seed round led by Uncork Capital, Neo, and Nebular, with participation from strategic angels from OpenAI, Twilio, and Stripe—bringing total funding to $5 million.

该公司最近完成了由Uncork Capital、Neo和Nebular领投的420万美元种子轮融资,OpenAI、Twilio和Stripe的战略天使投资人也参与其中,总融资额达到500万美元。

Amperos Health aims to make reimbursement an invisible part of healthcare delivery—so providers can focus on growth and patient care, not administrative survival.

安培健康致力于使报销成为医疗服务交付中无形的一部分——这样提供商就可以专注于增长和患者护理,而不是行政生存。