Purpose-built platform brings payer intelligence into claim workspace to prevent denials and accelerate collections

HERNDON, Va.: #AI--ECLAT Health Solutions, a leading revenue cycle partner, today announced the launch of its proprietary accounts receivable (AR) and denials management platform, evaire Recover™. Designed to address the systemic visibility and efficiency challenges across AR operations, the platform combines agentic AI with high-skilled execution to accelerate time-to collection, eliminate backlogs and prevent costly claim denials.

“In recent years, healthcare organizations have spent billions attempting to collect payments from insurers, burdened by rising claim denials, opaque claim statuses, and a heavy reliance on manual processes that slow cash flow and drive up the cost to collect,” said Karthik Polsani, founder and group CEO at ECLAT. “evaire Recover™ replaces these fragmented, reactive workflows with an intelligent, agentic AI platform that equips our teams to resolve complex claims faster, drive higher net collections and continually adapt as payer policies evolve.”

evaire Recover™ transforms revenue cycle management, using machine learning to automatically prioritize high-value claims, route complex denials to the right specialists and deliver real-time payer guidance directly within agent workflows. While eliminating manual work and establishing true financial transparency, the platform also embeds AI directly into daily workflows, identifying underlying pattern anomalies and systemic billing issues at the source, transforming reactive denial management into proactive strategy, helping to mitigate recurring claim rejections before they impact the bottom line.

The platform provides actionable insights to improve cash flow and reduce denials through:

• Faster Resolution for Priority Claims: Machine learning continuously scores claims by value, age, and filing window urgency, automatically routing complex denials to the right agents based on payer, financial class and skill qualification.
• Standardized Workflows & Zero Manual Policy Lookups: Contextual payer policies and client-specific rules surface directly within the active claim workspace, embedding real-time AI guidance to ensure first-pass accuracy across teams.
• True Real-Time Balance & Financial Visibility: Automated payment reconciliation ingests and matches payments and adjustments across multiple sources, replacing manual posting with an up-to-the-minute view of outstanding inventory.
• Proactive Root-Cause Denial Prevention: Native analytics and enterprise dashboards track end-to-end operational metrics-including days in AR, clean claim rates and denial origin tracking-giving healthcare leaders complete control from initial touch to final payment.

The AI-native Recover platform builds on ECLAT’s proven track record of managing revenue cycles for hospital and health system partners across the United States. Today, ECLAT employs top-tier RCM specialists who manage millions of appeals and AR calls while resolving 90% of claims within 90 days. The launch of evaire Recover™ directly enhances ECLAT’s core RCM services, marrying deep domain expertise with intelligent automation to drive greater efficiency, faster cash flow and measurable ROI for its partners.

“These robust features are just the beginning of our platform’s potential,” Polsani said. “This foundation of insights will allow our clients to scale and leverage the latest technologies to stay ahead, while continuously improving operational efficiencies and cash flow.”

About ECLAT Health Solutions

ECLAT Health Solutions is a leading revenue cycle, risk adjustment and healthcare technology partner. Fueled by its agentic AI platform, evaire, and highly qualified professionals, ECLAT helps hospitals, health systems and providers strengthen medical coding, AR and other revenue cycle operations, while payers rely on evaire to advance risk adjustment and quality programs with greater accuracy and efficiency. By pairing expertise and automation across the healthcare continuum, ECLAT drives measurable outcomes and delivers transparent, defensible results that healthcare organizations can trust. Learn more at ECLAThealth.com.

Fonte: Business Wire