Ascertain

What Ascertain does

Ascertain is an agentic AI platform that delivers end-to-end automation across care management and revenue cycle workflows in healthcare. Unlike static RPA or point solutions, Ascertain ingests structured and unstructured data, adapts in real time to new rules, and operates with explainable, auditable guardrails. It aims to help health systems, providers, and payers achieve measurable ROI in months by automating administrative tasks such as prior authorizations, referrals, eligibility checks, and care coordination. The platform is designed to integrate seamlessly with existing systems, reduce administrative burden, improve approval rates, and free up clinical staff to focus on patient care. Ascertain emphasizes human-in-the-loop processes, auditability, and transparency.

Key capabilities

• Agentic AI platform
• End-to-end automation
• Ingests structured and unstructured data
• Adapts in real time to new rules
• Explainable and auditable guardrails
• Seamless integration with existing systems
• Human-in-the-loop
• Built-in traceability
• Real-time auditability
• Consistent submissions
• Audits and policy evaluations
• Every action logged, transcribed, and auditable
• Oversight and exception handling built in

Use cases

• Prior authorization
• Referrals
• Eligibility checks
• Care coordination
• Medical records request
• Care planning
• Closing care gaps
• AI voice agent
• Denials management
• Transportation
• Utilization management
• Case management
• Referral processing
• Discharge planning
• Fax ingestion
• Claims management
• Prior authorization submissions
• Care gap identification
• Denials and appeals
• Population health management
• Audit readiness
• Member enrollment
• Internal payer processes
• Automating forms
• Portal submissions

AI approach

Ascertain uses an agentic AI platform to deliver end-to-end automation across care management and revenue cycle workflows in healthcare. It ingests structured and unstructured data, adapts in real-time to new rules, and operates with explainable, auditable guardrails. The AI agents can act autonomously after interpreting data like clinical notes, payer portals, or faxes, handling exceptions and using audits to establish rules.

Tech named: agentic AI, AI agents

Industries served

• Healthcare
• Health Systems
• Providers
• Payers
• Specialty practices
• Management service organizations
• Health plans

What it says sets it apart

• Agentic AI adapts to complex, real-world workflows
• Delivers full-service, end-to-end solutions
• Focus on measurable ROI in months, not years
• Human-in-the-loop for visibility and control
• Transparency and auditability by design
• Made by healthcare teams for healthcare teams
• Rapid rollouts
• Compliance without compromise
• Seamless integration, minimal lift

Funding rounds we track

From the AI funding tracker — rounds as reported by the linked publications.