Fuse

Fuse is a healthcare automation platform that provides AI-powered patient intake and insurance verification. It automates CPT-level insurance checks, patient cost estimates, and claims submission to reduce administrative burden and improve revenue cycle management.

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At a glance

Pricing

Likely Not Free

Free tier

API

Skill level

Non-technical

About

What is Fuse?

Fuse is a comprehensive AI-powered healthcare automation platform designed to streamline patient intake, insurance verification, and revenue cycle management for US healthcare providers. It automates critical tasks such as CPT-level insurance checks, direct payer calls, and patient cost estimates, significantly reducing administrative time by up to 95%. The platform integrates seamlessly with existing EMR/EHR systems without requiring new software installation or platform switches. Fuse also offers smart claims modeling based on adjudicated data, automated claims submission with high accuracy, and a revenue intelligence dashboard for owners, RCM leaders, and CFOs to monitor cash flow, denials, and contract performance. It is HIPAA and SOC 2 Type II compliant, ensuring secure data handling.

Best used for

Ideal for healthcare providers and practice managers who need to automate patient intake, verify insurance benefits at the CPT level, and generate accurate patient cost estimates. Especially valuable for reducing administrative time, preventing eligibility-related claim denials, and improving overall revenue cycle management.

Common actions

automate insurance verification

generate patient cost estimates

manage healthcare revenue

streamline patient intake

reduce claim denials

Capabilities

Key features

CPT-level insurance verification
Automated patient cost estimates
Automated claims submission
Revenue intelligence dashboard
EMR/EHR system integration
Direct payer calls automation
HIPAA and SOC 2 compliant

Target Audience

doctortherapist

Integrations

Not yet documented

Pricing & Plans

Likely Not Free

Not publicly disclosed. Check fuseinsight.com for current pricing.

FAQs

What healthcare processes can Fuse automate?

Fuse automates patient intake, CPT (procedure code) level insurance verification including direct insurance payer calls, and patient cost estimates as one end-to-end workflow. It helps cut insurance verification admin time and reduce eligibility-related claim denials without new software.

How does Fuse automate CPT-level benefits verification?

Fuse integrates with your EMR/EHR, checks insurance payer portals, calls payers directly for procedure-level benefits, and then adds results back to your EMR. This process reduces insurance verification admin time by up to 95%.

Is Fuse HIPAA-compliant?

Yes, Fuse is fully HIPAA compliant and has achieved SOC 2 Type II compliance through external auditing. It follows strict data security and privacy protocols to protect sensitive healthcare information for all its services.

Can Fuse integrate with my existing EMR system?

Yes, Fuse works with most EMR systems without requiring new software installation or platform switching. After a short onboarding call, Fuse learns your practice's existing workflows and customizes automation to minimize disruption.

What is the free revenue intelligence report?

When you start with Fuse, their team analyzes your adjudicated claims to identify recoverable aged A/R, denial spikes, and underpayments. You receive this report regardless of whether you proceed, providing a baseline for future improvements.

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