Fuse

Fuse is a healthcare revenue cycle automation platform that verifies patient insurance coverage before appointments, including CPT-level benefits and prior authorization requirements, through payer portal checks and automated payer calls. It scrubs and submits claims automatically, and combines insurance checks, claims, adjudicated claims, and payments into a revenue dashboard showing cash, denials, contract performance, and aged A/R by site, payer, and service line.

The platform includes digital patient intake, insurance checks, CPT-level benefits verification, patient cost estimates, patient billing and collections, claims automation, and revenue intelligence. It integrates with EMRs such as SimplePractice, TherapyNotes, Healthie, Jane, Valant, AthenaOne, DrChrono, AdvancedMD, Tebra, NextGen, and most other EMRs, as well as tools like ClaimMD, Gmail, and RingCentral. Fuse analyzes adjudicated claims at the procedure code and payer plan level to build models of benefits, medical necessity, prior auth rules, and modifier requirements, and applies learned payer rules to claim scrubbing. It is HIPAA compliant and SOC 2 Type II certified.

Fuse is built for private practice owners, practice managers, billing managers, and RCM and finance leaders across specialties including behavioral health, physical therapy, neurology, pain management, sleep medicine, holistic care, and remote patient management. Onboarding begins with a short call or screen recording of existing workflows, with no new software to install. A free revenue analysis of adjudicated claims is available, and a demo can be scheduled.