PlatformThe platform

The layer your EHR doesn't have.

Foresight runs the billing, prior-auth and revenue cycle work your EHR was never built to do — on top of the EHR you already use.

How it fits
Your EHRSystem of record
ForesightBilling · prior-auth · RCM layer
Clearinghouses & payersClaim.MD · Stedi · Availity · Optum

Everything Foresight computes is written back, so your revenue cycle stays in one place — transparent and yours, not another black box.

01Capabilities

Everything the EHR leaves undone.

Each one runs on top of your EHR, on your data. Tap any capability to see it work.

Prior auth
01Prior auth

Prior authorization

Evidence auto-assembled, medical necessity scored against the payer's own policy, submitted, tracked, and appealed. Clinician-reviewed.

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Eligibility
02Eligibility

Eligibility

Multi-source checks, carve-out detection, coordination-of-benefits ordering, and a confidence score — not a single yes/no that breaks at the claim.

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Claims
03Claims

Claims

Automated build, real scrubbing (code validity, linkage, duplicates, modifiers), per-payer routing across clearinghouses, and paper when a payer requires it.

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Charge accuracy
04Charge accuracy

Charge accuracy

Scrubbing for missing, contradictory, or policy-breaking data before submission — plus per-payer fee schedules, coding rules, and underpayment recovery.

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Provider billing
05Provider billing

Provider billing & assignment

Supervising clinicians, bill-under overrides, group-vs-individual NPI, and taxonomy overrides — configured per payer, written to every claim.

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Denials & AR
06Denials & AR

Denials & AR analytics

HFMA-aligned denial metrics, a denial worklist with appeal tracking, AR-aging, payer performance, and ERA auto-posting.

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Patient ledger
07Patient ledger

Patient ledger & payments

Automated, scheduled statements, an at-the-visit cost estimate, self-pay subscription handling, and bank / EFT posting.

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+Around the core

And the safety net under it

  • Credentialing & config-error checks
  • Timely-filing watchdog
  • Appeals & resubmission playbooks
  • Fax, portal & paper submission
  • Payer-policy knowledge base
  • Payer-performance analytics
See it on your own claims

Bring a week of claims.
We'll show you the layer.

In under 30 minutes we'll walk the eligibility checks, the prior-auth packet, and the denials we'd have caught — on your data.

What we'll walk through

EligibilityMulti-source
Prior authEvidence + necessity
ClaimsScrub + route
DenialsCaught + recovered