6 weeks to value

3 clicks to action

WELCOME — YOU CAUGHT THE TALK ABOUT BLOOM VALUE

Which best describes your organization?

For Providers

The leak isn’t in one department.
It’s between them.

A missed authorization becomes a denial. A short payment hides inside a paid claim. Bloom’s Intelligent Patient Account Management (iPAM) uses financial intelligence to find that leakage, then AI agents prioritize the recovery worth chasing first and automate the appeals and payer communications that follow.

 

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    Resources

    Intelligent Patient Account Management (iPAM)

    Know more about how iPAM identifies hidden leakage, prioritizes recovery, and automates denials and appeals.

    Ask Bloom®

    Know more about Ask Bloom — Bloom’s AI advisory services — to understand how finance and RCM leaders get answers on denials, payers, and margins without new software.

    Dive Deeper

    Denial Appeals Agent (DAA)

    Learn how the denial appeals agent turns a tedious process that takes days into about an hour.

    Glass Box Visibility

    Learn how Bloom’s glass box visibility replaces fragmented dashboards with one real-time source of truth.

    The Bloom Difference

    01

    Beyond point solutions

    A missed authorization becomes a denial. A short payment hides inside a paid claim. These span workflows, not one tool.

    02

    Financial intelligence before automation

    AI agents are guided to the work that matters most, not set loose to automate existing inefficiency.

    03

    Modular by design

    The patented FAST Platform combines financial intelligence, automation and AI agents in one coordinated system.

    04

    Glass Box Visibility

    Shaped by coders, clinicians and finance experts who’ve worked inside both payer and provider organizations.

    Outcomes

    Faster denial appeals
    0 x
    Appeal overturn rate
    +30 – 0 %
    Payer comms effort
    0 %
    Clicks: enterprise to claim view
    0

    (For MAs, IPAs, ACOs, & MSOs)

    One foundation.
    Every action, defensible.

    Bloom’s Medicare Advantage solutions — risk adjustment, quality, claims, eligibility, utilization and cost visibility — all run on the FAST Platform’s shared data foundation. Every one pairs AI with coders, clinicians and compliance experts, so what you get is defensible under audit — not automation alone.

    Talk to us

      Resources

      Intelligent Risk Adjustment Service (iRAS)

      Learn how iRAS uses AI to capture accurate RAF scores while keeping documentation audit-ready and defensible — closing missed HCC gaps without the compliance risk of overcoding.

      Intelligent Quality Optimization Service (iQOS)

      Learn how iQOS closes HEDIS and Star measure gaps at the member level, in auditable workflows that lower compliance risk.

      Intelligent Claims Adjudication Service (iCAS)

      Learn how iCAS combines AI with expert coder and clinician review to catch inaccurate coding and unjustified admissions before and after payment.

      Intelligent Revenue and Eligibility Service (iRES)

      Learn how iRES automates eligibility verification and reconciles capitation revenue at the member level.

      Intelligent Authorization Engine (iAE)

      Learn how iAE automates prior authorization decisions and generates medical necessity summaries, cutting adjudication effort by 50-70% while improving decision accuracy for your UM team.

      Intelligent Financial and Analytical System (iFAS)

      Learn how Bloom turns weeks of medical cost analysis into minutes, with PMPM benchmarking and specialty-level cost drill-downs for referral steering and contract negotiation.

      The Bloom Difference

      01

      One data foundation, not another point tool

      Risk adjustment, claims, quality and eligibility all run on FAST’s shared data instead of a new AI silo per problem.

      02

      Augmented intelligence, built to be defensible

      AI pairs with coders, clinicians and compliance experts, so outcomes are defensible under audit — not automation alone.

      03

      Modular by design

      Start with the solution that matters most, and add others when you’re ready — all on the same foundation.

      04

      Built to move the margin number

      Targets a measurable operating margin lift, not isolated wins on individual KPIs.

       

      Outcomes

      Operating margin lift
      3- 0 %
      Savings
      0 %
      Capitation revenue
      + 0 %
      Faster 5-star gap closure
      0 wk

      Ready to talk?