Clinical AI Platform
for Healthcare Operations

AI-powered tools for faster approvals, timely patient care and reduced administrative costs.
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RISA Solutions

Streamline Prior Authorizations & Eliminate Roadblocks to Optimal Care

Prior Authorization
Streamline PAs & Reduce Administrative Burden
RISA’s AI Agents automate manual tasks associated with prior authorization like eligibility verification, auth verification and creating the medical necessity checklist, freeing up valuable staff time for both providers and payers.
This streamlined process improves turnaround times, reduces errors, and minimizes denials. In turn, improving operational efficiency and reducing costs for all parties involved.
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$8
cost saving per Prior Authorization
4x
Reduction in PA Time
(< 5mins in comparison to 20)
40%
reduction in denial rates & 100% appeal filing
75%
less admin workforce required

Featured in

Trusted by Leading Publications & Organizations in Business and Healthcare
RISA Expanded Solution Suite

Empowering Healthcare Teams with Real-Time Intelligent Solutions

Risk Management

Target Care & Maximize Revenue with Risk Adjustment

RISA uses it’s AI agents to analyze patient data, identify risk factors, and optimize coding for maximized reimbursement and improved patient outcomes.
AI-powered risk coding
Early risk identification and actionable insights
Targeted care management
Improved financial performance and patient outcomes
Integrated Decision Support

Empower your teams with Real-time Integrated Decision Support

RISA equips clinical teams with data-backed assistance at the point of care. Our AI analyzes patient data, recommends treatment plans, and streamlines documentation within existing workflows.
Data-backed assistance at the point of care
SDOH decision support to address barriers
Efficient workflow integration
Improved patient outcomes and safety
Care Gap Identification

Identify Care Gaps & empower early intervention for proactive care

RISA's AI identifies potential care gaps in patient care plans. This enables early intervention by care managers, leading to improved patient outcomes and reduced risk of adverse events.
Proactive identification of care gaps
Early intervention suggestions
Reduced risk of adverse events
Improved patient outcomes and quality metrics
Patient Engagement

Boost Patient Satisfaction & Improve Ratings with Automated Communication

Automated reminders for appointments, medication refills, and preventative screenings can lead to improved patient adherence, enhanced patient satisfaction and educed utilization of unnecessary healthcare services.
Automated reminders for appointments, refills, screenings
Improved patient adherence
Enhanced patient satisfaction and star rating
Reduced unnecessary healthcare utilization
RISA Benefits

Unlock Value with
RISA's Intelligent System

Free up staff time at least by 50% for patient care
Unlock upto
40% cost savings
Up-to 95% error reduction through AI-powered automation and data validation
Seamlessly integrates
with your workflow
Increase star ratings by reducing care delay
Tech behind RISA

AI Agents
at Your Service

AI "agents" are digital assistants, each expertly trained to handle specific tasks and enabling quicker and more accurate decision-making. By delegating routine tasks to these AI agents, human decision-makers can focus on more complex and sensitive aspects of patient care, thus improving both outcomes and operational efficiency.
Tech behind RISA

Multi-Agent System
Collaborative

Multi-Agent System (MAS) allows for a team of AI agents to work simultaneously. RISA’s proprietary algorithm uses MAS (a pool of AI Agents) to automate multiple steps in PA workflow right from encoding payer policies to validating clinical documents for establishing medical necessity. This reduces administrative burden on payers while maintaining high accuracy.
Tech behind RISA

Secure & Scalable
API Infrastructure

We have built APIs that follow DaVinci Protocol, powered by FHIR standard, to transfer relevant health data across systems without the need for significant investment in developing and maintaining in-house infrastructure
Tech behind RISA

AI Agents
at Your Service

AI "agents" are digital assistants, each expertly trained to handle specific tasks and enabling quicker and more accurate decision-making. By delegating routine tasks to these AI agents, human decision-makers can focus on more complex and sensitive aspects of patient care, thus improving both outcomes and operational efficiency.
Tech behind RISA

Multi-agent system
Collaborative

RISA's Multi-Agent System (MAS) allows for a team of AI agents to work simultaneously.Its proprietary algorithm uses MAS(a pool of AI Agents) to automate multiple steps in PA workflow right from encoding payer policies to validating clinical documents for establishing medical necessity. This reduces administrative burden on payers while maintaining high accuracy.
Tech behind RISA

Secure & Scalable
API Infrastructure

We have built APIs that follow DaVinci Protocol, powered by FHIR standard, to transfer relevant health data across systems without the need for significant investment in developing and maintaining in-house infrastructure

Compliance and Regulations

We are compliant and follows all industry-standard regulations, ensuring ethical and legal communication practices.