About Aletheia Health

Agentic AI for Healthcare Payments

Intelligence Powered by AI

We build AI agents that help healthcare organizations get paid correctly, reduce avoidable payment work, and protect patients from billing failures.

What we are building

U.S. preventive billing intelligenceCanadian physician billing automationAgentic infrastructure across payment workflows
Agents at workEligibility verified · preventive benefits confirmed

How the agents work

A team of AI agents, talking to each other

Aletheia is not one model — it's a coordinated system of specialized agents. Each one owns a step of the billing lifecycle, hands its work to the next, and reports up to a supervisory agent that enforces guardrails and learns from every claim. Here's the flow for a single encounter.

Supervisory Agent · orchestrates guardrails + learning
Clinical EncounterSOAP note + diagnoses
Compliance AgentVerifies eligibility + payer rules
Coding AgentGenerates CPT, ICD-10 + modifiers
Resolution AgentDrafts appeals + resubmissions
Clean ClaimSubmitted to payer
Remittance, denials + EHR outcomes flow back to retrain every agent
Agents communicating
Compliance→CodingEligibility verified · Payer BCBS · plan rules attached