Revenue cycle intelligence

Amplify performance with enterprise AI.

Put big data to work with AI-driven decisioning + advanced analytics.

terabytes of harmonized
claims data informing models

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codified RCM
best practices

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AI models driving
process excellence

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patents for automation
and data exchange

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Our Approach

AI orchestration across the full revenue cycle

Revenue cycle isn’t solved with a single AI agent. In this video, CEO Judson Ivy explains why it’s critical to build AI that operates as a system, not a stack. Using data from more than 80 million annual claims, Ensemble’s orchestrated AI layer learns, connects and delivers value across the entire rev cycle — from patient access to zero balance.

EIQ: BUSINESS PLATFORM FOR PERFORMANCE

AI that operates as a system, not a fragmented stack.

Our powerful RCM intelligence engine, EIQ®, connects data, people and insights to drive performance across your entire revenue cycle — streamlining operations, uncovering opportunities and integrating seamlessly with your existing systems.

UNIFIED DATA PLATFORM

Power insights and action with data.

We’ve built one of healthcare’s richest datasets — 2,000+ terabytes of harmonized claims data. EIQ puts it to work, surfacing insights, guiding decisions and driving smarter action across the revenue cycle.

annual claims transactions

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denial audit letters

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payer policies

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Performance Analytics

Say goodbye to data black boxes.

Revenue performance

Track 100+ metrics from AR aging to cash collections to denial trends — benchmarked against SLAs and industry standards.

Payer insights

Strengthen negotiations and payer performance with scorecards that track underpayments, denial trends and cash velocity.

Patient experience

Monitor satisfaction scores, care access and referral patterns to resolve friction before it impacts care.

Predictive Modeling

Don’t let history repeat itself.

Denial prevention

We analyze 100k+ denial letters to predict risk and trigger early interventions.

Payment anomaly detection

Automated anomaly detection screens every account and flags underpayments and errors in real time.

Tailored patient communication

Anticipate needs and personalize outreach based on patient preferences, historical behavior and account details.

INTEGRATED AGENTS

Replace fragmentation with orchestration.

Conversational AI

Natural language agents securely exchange data with payers and engage patients in HIPAA-compliant conversations.

Operational assistants

From generative denial appeal drafting to real-time call transcription and next best action recommendations, copilots support operators with speed, accuracy and focus.

Agentic orchestrators

Autonomous agents reason, act and resolve to manage complex processes like AR follow-up without human intervention.

IMPACT, DELIVERED

Less friction, better care.

50% reduction in abandoned call rates
by deploying 24/7, personalized, HIPAA-compliant natural voice agents

35% faster call response times
aided by real-time call transcriptions and summaries

40% faster denial appeal submissions
via clinically calibrated generative AI and clinical oversight

92% completion of prior authorizations (eMPA)
with zero manual interventions

100% clinical review success rate
for appeal letters crafted by generative AI

23% more revenue per operator action
with process optimization, AI prioritization and automation

CYBERSECURITY

When it comes to your security, our standards are high.

Ensemble attained a HITRUST r2 certification for EIQ, our proprietary revenue cycle intelligence platform, by demonstrating the highest level of information protection assurance.

"We see Ensemble as a pioneer in AI. Ensemble really has embraced AI from day one. They use it a lot in current technology, and they are always exploring new ways to use AI to help improve efficiency."

Health System CEO / President

May 2025, KLAS Research Interview

“Ensemble has a lot of technology beyond what we have, and they can layer that technology on top of our system to identify opportunities much sooner. The firm has made a lot of investments to improve the patient experience and our financial results, and they don't necessarily charge us.”

Health System CFO

March 2024, KLAS Research Interview

“We decided to outsource to Ensemble Health Partners because it became difficult to collect things and bill payers. We wanted an expert in the industry to focus on the revenue cycle. The firm is very forward looking. They look at what is coming within the revenue cycle, both from a technology standpoint and a technical standpoint.”

Health System CFO

April 2024, KLAS Research Interview

"Ensemble has several AI initiatives that are coming into play. We have some in play right now. In comparison to another organization, we were always a bit behind on the more intuitive side of how we get things done within these departments."

Health System CFO

March 2025, KLAS Research Interview

"Ensemble is investing in AI. They have asked us for a direct feed of clinical information so that they can do what the payers are doing from an AI perspective in reverse and try to look at combating things, having fewer denials and downgrades, and being proactive on where their gaps are."

Health System CFO

March 2025, KLAS Research Interview

TECH SNAPSHOT

EIQ prevents $80 million in revenue loss for health systems in 12 months.

Ensemble’s proprietary revenue cycle intelligence engine, EIQ®, helps hospitals and health systems avoid lost revenue, reduce claim denials and lower administrative costs.

Powered by adaptive machine learning models trained on billions of transactions, EIQ enables pre-bill analysis for 100% of inpatient claims to identify anomalies that traditional human audits often miss. By flagging and addressing errors early, EIQ helps safeguard over $5,000 per account from being lost to inaccuracies, translating into millions of dollars saved across clients.

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