GenHealth.ai secures $16.5M in series A for back-office AI agents

Artificial intelligence company GenHealth.ai has raised $16.5 million in Series A funding to expand its back-office AI agents into healthcare provider offices, aiming to reduce administrative burdens. The round was led by Flare Capital Partners, with contributions from Craft Ventures, Obvious Ventures, and several new investors, including Eniac Ventures, InHealth Ventures, Epsilon Health Investors, and ARTIS.

Vic Lanio, a partner at Flare Capital Partners, emphasized that providers require operational solutions rather than additional record-keeping systems. GenHealth.ai's AI agents work in tandem with human staff within providers' existing systems, such as electronic health records (EHRs) and payer portals, to manage end-to-end revenue cycle workflows, including intake, eligibility, prior authorizations, billing, and denials.

Ricky Sahu, GenHealth.ai's CEO, highlighted that the challenge with automating healthcare administration lies not only in AI technology but also in its disconnection from the workflows and systems providers already utilize. GenHealth.ai has directly integrated these connections, enabling AI agents to execute complex workflows reliably while leveraging context from a model trained on data from 140 million patients.

This results in faster patient care and a 30% increase in provider revenue – a rare outcome in revenue cycle management (RCM).

Since the implementation of GenHealth.ai's solutions, at-risk managed services provider Guidehealth has experienced a fourfold productivity increase and anticipates saving nearly $1.2 million annually. Sanjay Doddamani, Guidehealth's CEO and founder, expressed satisfaction with the AI's impact on their intake and prior authorizations. GenHealth.ai has raised a total of $30 million to date and is on track to execute over 75 million actions inside customer systems within the next year.