We’re on a mission to make healthcare more efficient

We empower Payers and Providers with Agentic Decision Intelligence that reduces administrative burden, increases revenue, and improves accuracy.

TRUSTED BY LEADING HEALTHCARE ENTERPRISES

Outcomes that speak for themselves

Claims Processing

Annual Savings
$30M-$ 10 M

Achieved through automated pended-claims processing​

Policy and Clinical Chart Review

Reduction in Processing Time
20 - 20 %

Driven through AI augmented policy navigation and clinical chart review​

Policy Extraction

Faster Contract Installations
0 %
Reduced from 45+ minutes to under 5 minutes

Prior Auth Processing

Prior Auth Automation
10- 10 %
Accelerated through AI-powered clinical review and decisioning

Denials Management

Annual Patient Revenue at Risk Recovered​
0 %
Captured through targeted recovery of denied claims

Claims Processing

Claims Processed Daily
3 M+
Enabled by real-time AI decisioning with <680ms latency

Claims Processing

Decision Accuracy
0 %
Delivered through consistent, policy-aligned decisions

Outcomes that speak for themselves

Claims Processing

Annual Savings
$30M-$ 10 M
Achieved through automated pended-claims processing​
 
Payer

Policy and Clinical Chart Review

Reduction in Processing Time
20 - 20 %
Driven through AI augmented policy navigation and clinical chart review​
Payer

Policy Extraction

Faster Contract Installations
0 %
Reduced from 45+ minutes to under 5 minutes
 
Payer

Policy Extraction

Prior Auth Automation
10- 10 %
Accelerated through AI-powered clinical review and decisioning
 
Payer

Denials Management

Annual Patient Revenue at Risk Recovered​
0 %
Captured through targeted recovery of denied claims
PROVIDER

Claims Processing

Claims Processed Daily
0 M+
Enabled by real-time AI decisioning with <680ms latency
Payer

Claims Processing

Decision Accuracy
0 %
Delivered through consistent, policy-aligned decisions
Payer

Real impact, across Real Processes

We deliver value where healthcare payments break most often, targeting processes
that drive cost, delay, and friction.

First Tab

Second Tab

We Meet Our Customers Where They Are

From delivering immediate outcomes with ready-to-use products to enabling you to build on a full AI development platform, we align with your enterprise priorities at every stage

Ready to use Products for
accelerated outcomes

Pre-built AI products and solutions that deliver value from day one, available as SaaS or deployed within your environment.

Build your own solutions with our Development Platform

A secure, enterprise-scale Decision Intelligence Development platform that empowers you to rapidly build, deploy, and govern AI agents and workflows tailored to your needs.

Products & Super agents

Ready to use Products

We don’t ship point tools. We deliver decision systems
designed for how healthcare payments actually work.

Products & Solutions
End-to-end AI solutions built to operate at scale

FOR PAYERS

EnsoClaimsAI

EnsoAuthAI

EnsoPI

EnsoAppealsAI

EnsoAuditAI

EnsoPolicyStudio

FOR PROVIDERS

EnsoDenialsAI

EnsoAuthAI

EnsoAppealsAI

EnsoPolicyStudio

SUPER AGENTS

EnsoPoli

EnsoRhea

EnsoArgentis

EnsoDocumentAl

EnsoPoli

EnsoRhea

EnsoArgentis

EnsoDocumentAl

EnsoClaimsAI

Intelligent Second Pass Claims Resolution and Adjudication Decision System

Automates second pass claim review and resolves pended claims using AI-driven decision agents.

EnsoAuthAI

Intelligent Prior Authorization Processing Automation and Augmentation ​

Automates prior authorization intake, validation, and medical necessity review using AI decision agents.

EnsoPI

Intelligent Payment Integrity Validation and Resolution System

Automates claims error detection, COB validation, anamoly detection, and claim editing.

EnsoAppealsAI

Intelligent Payer Appeals Processing and Decision System

Automates appeals ingestion, classification and routing, decisioning and outcome correspondence.

EnsoAuditAI

Intelligent Claims Audit System

Audits full claims volume, flagging misprocessed and non-compliant claims, identifying error patterns and sources, and directing manual review with structured context.

EnsoPolicyStudio

Intelligent Policy Workbench

Transforms complex policies into structured decision logic that power downstream payment and revenue operations.

EnsoAuthAI

Intelligent Prior Auth Submission Automation ​

Automates submission by validating completeness and gathering missing information for accurate submissions.

EnsoDenialsAI

Intelligent Denials Identification and Resolution​

Identifies and resolves potential claim denials pre-submission.​

EnsoAppealsAI

Intelligent Claims and Prior Auth Appeals Lifecycle Management ​

Automates appeal submission using AI to gather documentation and supporting evidence.

EnsoPoli

Conversational AI agent for Clinical Policy and Chart Review

Extract and apply policy logic from complex healthcare documents to clinical decisions.

EnsoRhea

Conversational AI Agent for Rules Extraction

Convert unstructured documents and policies into structured, executable rules.

EnsoArgentis

AI Agent for Claims Anomaly Detection

Flags suspicious claims, groups them into outlier categories, and accelerates resolution and recovery.

EnsoDocumentAl

AI Agent for Document Classification and Extraction

Transforms unstructured faxes, handwritten orders, and scanned PDFs into structured, validated data in seconds.

our Platform

Built on a platform designed for healthcare scale.

Achieve fully-autonomous processes that deliver explainable, transparent and
assured real-time decisions

Decision Intelligence Suite
Core orchestration and runtime engine

Decision Intelligence Suite

Orchestration and runtime engine for building, deploying, and operating AI workflows.

Scheduler

Intelligent Prior Authorization System

Automates and augments end-to-end processing of prior authorizations ​

Rules Engine

Intelligent Claims Denial Prediction System

Enables Providers to reduce administrative burden and revenue leakage

Model Studio

Intelligent Claims Denial Prediction System

Enables Providers to reduce administrative burden and revenue leakage

Document Store

Intelligent Claims Denial Prediction System

Enables Providers to reduce administrative burden and revenue leakage

Configuration Studio

Intelligent Claims Denial Prediction System

Enables Providers to reduce administrative burden and revenue leakage

Intelligent Claims Denial Prediction System

Governances Studio

Enables Providers to reduce administrative burden and revenue leakage

Pre-Built Decision Agent Library

Pre-built, healthcare-trained, configurable decision agents.

Pre-Built Decision Agent Library

Pre-built, healthcare-trained, configurable decision agents

Enables instant policy lookup and supports clinical reviews

Implementation Accelerators

Tools for rapidly adapting AI to enterprise data, models, and policies.

Edge

AI Agent for Claims Anomaly Detection

Pinpoints suspicious claims, groups them into outlier categories, and accelerates resolution & recovery

Platform

Development platform designed for healthcare complexity

Build agentic systems that deliver explainable, compliant decisions
tailored to your data, policies, and environment.

Decision Intelligence Suite
Core development, orchestration and runtime engine

Decision Intelligence Suite

Orchestration and runtime engine for building, deploying, and operating AI workflows.

Scheduler

Intelligent Prior Authorization System

Automates and augments end-to-end processing of prior authorizations ​

Rules Engine

Intelligent Claims Denial Prediction System

Enables Providers to reduce administrative burden and revenue leakage

Model Studio

Intelligent Claims Denial Prediction System

Enables Providers to reduce administrative burden and revenue leakage

Document Store

Intelligent Claims Denial Prediction System

Enables Providers to reduce administrative burden and revenue leakage

Configuration Studio

Intelligent Claims Denial Prediction System

Enables Providers to reduce administrative burden and revenue leakage

Governances Studio

Intelligent Claims Denial Prediction System

Enables Providers to reduce administrative burden and revenue leakage

Pre-Built Decision Agent Library

Pre-built, healthcare-trained, configurable decision agents.

Pre-Built Decision Agent Library

Pre-built, healthcare-trained, configurable decision agents

Enables instant policy lookup and supports clinical reviews

Implementation Accelerators

Tools for rapidly adapting AI to enterprise data, models, and policies.

Edge

AI Agent for Claims Anomaly Detection

Pinpoints suspicious claims, groups them into outlier categories, and accelerates resolution & recovery

Why Businesses Trust Exponential AI

Proven Results

Increase accuracy, recover revenue, and reduce administrative burden across payment and revenue operations.

Healthcare Native. AI First

Our team doesn't just understand the technology — they've lived the operations it needs to fix.

Built Around You

Deploy Agentic systems configured to your data, policies, and operational context and operable across SaaS, hybrid, or on-prem environments.

Impact from Day One

Go live with minimal disruption and see measurable results from day one — not months down the line.

From fragmented workflows
to intelligent payments.

Healthcare doesn’t need more systems. It needs better decisions across the entire payment lifecycle. By connecting prior auth, claims, appeals, and integrity into one intelligent value chain, we help healthcare organizations reduce cost, improve trust, and operate with confidence.