Bulwark Health AI
AI that
Understands
Healthcare
Bulwark Health brings powerful AI Agents to your workflow—supporting clinical decisions in real time, streamlining revenue operations, and automating the complex, so your teams can focus on what truly matters: delivering exceptional care.
The Mid-Revenue Cycle is more complex and critical than ever. Navigating this complex landscape demands a smarter, more integrated approach. It’s time for
intelligent automation that delivers real results.
The Intelligent Core
Intelligent Automation that You can Trust.
Our AI processes vast amounts of structured and unstructured clinical data — notes, lab results, imaging reports, and claims — to uncover critical insights that are often missed in manual review. It powers code prediction, risk identification, and clinical pattern recognition with unmatched accuracy.
Using advanced LLM and machine learning, the system understands clinical context to accurately recommend CPT, ICD-10, HCC, and DRG codes. It auto-generates compliant queries, reconciles data, and prioritizes reviews, reducing manual workload and minimizing errors.
Stop denials before they happen. Our AI audits claims in real time, flagging documentation gaps, mismatches, and risk areas before submission. Teams can correct issues proactively and boost clean claim rates.
Claims are automatically checked against payer rules, CMS guidelines, ICD/CPT/HCC standards, and medical necessity requirements. Errors and unsupported codes are flagged instantly to help avoid denials and audits.
The system anticipates likely outcomes—from potential denials to gaps in risk adjustment—allowing teams to take proactive steps to protect revenue and improve performance in value-based care.
Our AI continuously adapts to new guidelines, payer changes, and documentation trends, ensuring sustained accuracy, compliance, and ROI over time.
Real Results that Matter
Drive measurable results in value-based care with
AI-powered insights and intelligent automation.
BENEFITS
Designed to Deliver Results: Clinical, Operational, Financial.
Unparalleled Coding Accuracy
- Reduce errors and denials, including DRG downgrades.
- Cleaner documentation, faster reimbursements.
Revenue Uplift
- Capture more revenue with complete, compliant documentation.
- Optimize margins in VBC arrangements.
Lower Costs
- Cut audit and rework costs by minimizing preventable errors.
- Automate time-consuming manual tasks.
Risk Adjustment Accuracy
- Improve HCC/RAF accuracy to reduce RADV risk.
- Support value-based reimbursement success.
Higher Productivity
- Accelerate reviews and free up skilled staff.
- Improve team throughput across CDI, Coding, and RCM.
Regulatory Confidence
- Meet CMS, HIPAA, and payer guidelines with ease.
- Ensure secure, validated submissions.
Seamless Integration with the EHRs your teams use
Question & Answers
Frequently Asked Questions
Explore this section to learn more about our products.
We support integration with Epic, Cerner, Athena, and other major EMRs with FHIR & HL7 standards.
Yes. We’re HIPAA and SOC 2 certified.
Absolutely — it's built to be flexible and align with your existing team processes.
Yes — including RAF score tracking, HEDIS alignment, and risk stratification.
See Bulwark Health’s
AI in Action
Achieve sustainable revenue integrity, succeed in value-based care, and reach operational excellence. Partner with us to build a smarter, faster,
better future for your healthcare organization.
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