Tailored Expertise
Mastering Complexity for Leaders in Health and Science
While our AI infrastructure is adaptable to any complex enterprise, our core focus is on sectors where precision, security, and operational excellence are paramount. We build solutions for the industries that shape our world.
Healthcare
Large Health Systems & Academic Medical Centers
Key Pain Points
Their primary struggles lie in managing intricate, high-volume revenue cycles, leading to substantial revenue leakage from claim denials, under-coding, and billing errors. Optimizing the use of extensive EHR systems is a constant battle.
The Solution
OTLEN's platform confronts these issues by deploying sophisticated AI for automated coding/documentation audits and predictive analytics to identify high-risk claims for denial before submission, allowing for proactive correction.
Specialty Physician Groups (e.g., Cardiology, Oncology)
Key Pain Points
These groups are particularly challenged by complex coding requirements specific to their specialties, leading to high denial rates. The administrative burden of obtaining prior authorizations is a major source of revenue delay and staff burnout.
The Solution
OTLEN's AI is trained on specialty-specific coding and billing rules, automating the review process to ensure accuracy. Our platform also automates the prior authorization process by identifying and submitting necessary documentation.
Biotechnology
Biopharmaceutical & Drug Discovery
Key Pain Points
A significant hurdle is the late initiation of a commercial strategy, leading to a disconnect between the product's value proposition and market needs. Fragmented execution with multiple vendors often results in misaligned objectives.
The Solution
OTLEN's platform provides market access insights early in the development process. By analyzing real-world data, our AI helps in identifying the right patient populations and refining pricing and reimbursement approaches.
Contract Research Organizations (CROs)
Key Pain Points
Managing the intricate financials of clinical trials, including tracking expenditures, patient billing, and sponsor claims, is a major challenge. Ensuring strict compliance with diverse and evolving regulatory requirements is resource-intensive.
The Solution
Our RevOps infrastructure automates and streamlines the financial management of clinical trials, from budgeting to revenue recognition. AI-powered tools enhance clinical trial design by optimizing patient recruitment and monitoring.