Products

Four products that work together — by design

From noise to prioritized work.

Tensaw Intelligence

Turn signals into prioritized cases and next-best actions

Tensaw Intelligence is the decision layer for your revenue cycle. It ingests signals from every connected system — claims events, ERA postings, denial notifications, patient messages, payer responses, missing document alerts — and converts that noise into structured, prioritized cases with full context. Instead of working whatever's loudest, your teams work what moves the most cash with the highest probability of success.

Tensaw Intelligence — Revenue insights dashboard showing monthly collections by payer type, denial analysis, aging reports, and AI-powered conversational analytics

What it replaces

✕Manual worklists that are stale by midday

✕Spreadsheet triage that depends on one person's knowledge

✕"Work whatever is loudest" operations that miss high-dollar claims

✕Reactive denial management that only catches problems after they escalate

Key capabilities

Case creation & deduplication

One case per problem — not per message, not per system notification. Intelligence deduplicates across signals and channels to give your team clean, actionable work items.

Smart prioritization

Cases are ranked by dollar impact × SLA urgency × probability of success. Configurable per client, payer, and workflow to match your operational priorities.

Decision support

Each case comes with evidence citations and next-best-action recommendations based on historical patterns, payer behavior, and your approved playbooks.

Auto-routing

Cases route to the right team, role, location, or individual based on configurable rules — payer, specialty, dollar threshold, client SOP, and skill availability.

Metrics & dashboards

Real-time visibility into cycle time, recovery, throughput, SLA attainment, and queue health. Leaders see what matters without waiting for reports.

Common use cases

Denial spike detection and automated triage

High-dollar AR focus with "reason for delay" analysis

Missing info workflows — records, auth, demographics

Patient AR segmentation and outreach sequencing

Cross-payer pattern recognition for denial prevention

Automate the work — not the risk.

Tensaw Ops Agents

Back-office agents that do real work, safely and consistently

Tensaw Ops Agents execute defined RCM workflows using governed skills. They start from structured cases (not random prompts), gather evidence from connected systems, execute one or more approved skills, log every action and outcome, and escalate to humans when confidence is low or policy requires approval. The result is higher throughput without sacrificing quality, consistency, or accountability.

What it replaces

✕Manual claim follow-up calls that take 15+ minutes each

✕Inconsistent denial triage across team members

✕Appeal packages assembled from memory instead of checklists

✕Tribal knowledge that walks out the door when people leave

Key capabilities

Denial management

Intake, normalization, triage, playbook routing, evidence assembly, appeal drafting, and root-cause analysis — from first signal to final resolution.

Claims lifecycle follow-up

Status checks, next-action scheduling, stuck-claim diagnosis, and resubmission workflows — all with documented rationale and system updates.

Prior authorization

Requirement checking, status tracking, follow-up sequencing, and escalation when service dates approach without confirmed auth.

Medical records retrieval

Request generation, completeness validation, follow-up scheduling, and tracking until records are received and linked to cases.

Payment posting assistance

ERA exception triage, deposit reconciliation, and variance detection — handling the exceptions while automating the routine.

Underpayment recovery

Contract rule comparison, variance flagging, dispute package preparation, and tracking through resolution.

Support that's consistent, compliant, and fast.

Tensaw Support Agents

Patient and internal support with guardrails that resolve faster

Tensaw Support Agents handle conversations where speed, accuracy, and compliance all matter simultaneously. They serve patients asking about balances, staff needing policy answers, and teams that need context assembled quickly. Support Agents operate in three modes: self-service, agent-assist, and escalation.

What it replaces

✕Patients on hold for 20 minutes to hear their balance

✕Support staff toggling between six systems to answer one question

✕Inconsistent answers depending on who picks up the phone

✕Escalations that arrive without context, forcing the specialist to start over

Key capabilities

Patient balance & billing

Answer "Why do I owe this?" with plain-language explanations backed by ledger data, insurance processing status, and clear next-step options.

Payment plans

Determine eligibility, present policy-approved options, capture consent, and create the plan — with every rule and threshold documented.

Dispute intake

Structured capture of patient disputes: reason classification, required info collection, and routing to billing/RCM teams with full context and evidence.

Internal staff assistance

Answer "Where is this claim?" and "What's our policy on X?" using approved knowledge sources and skill outputs.

Escalation with context

When a conversation exceeds the agent's scope, escalate with a full summary, relevant data, and a recommended next action.

Skills, not prompts.

Tensaw Skills Studio

Build, test, govern, and version the capabilities agents run

Skills Studio is where you create, maintain, and govern the operational playbooks that power every Tensaw agent. At enterprise scale, you don't want dozens of teams inventing how work gets done. You want standardized best practices that can be adapted per client, payer, and policy — without losing control. Copy → Configure → Test → Approve → Deploy → Measure.

Tensaw Skills Studio — Denial Triage workflow editor showing visual skill builder with nodes, AI classification, rules engine, human review gates, and confidence thresholds

What it replaces

✕One-off prompts that drift over time without anyone noticing

✕Unclear accountability — "the AI said so" is not an acceptable answer

✕Inconsistent outcomes across teams doing the same work

✕No controlled rollout or rollback when things break

✕Knowledge trapped in people's heads instead of encoded in systems

Key capabilities

Template library

Start from proven templates: Denial Triage, Claim Status Follow-up, Underpayment Review, Patient Balance Explanation, Payment Plan Offer, Appeal Package Builder, and more.

Skill authoring

Define purpose, scope, inputs, tools, permissions, business rules, evidence requirements, confidence thresholds, escalation triggers, and approval gates.

Testing sandbox

Run skills against real case data in a safe environment. Review outputs, evidence quality, and failure modes before publishing.

Version control & approvals

Skills are versioned artifacts with full change history. Publishing requires approval. Rollback is one click.

Outcome monitoring

Track how each skill version performs: resolution rates, accuracy, QA scores, and operational metrics. Detect degradation automatically.

SOP-to-Skill translation

Convert written SOPs into structured skill configurations. Extract rules, thresholds, evidence checklists, and routing logic.

Choosing where to start

Want visibility & prioritization first?

Start with Intelligence

Want to reduce manual ops effort?

Start with Ops Agents

Want patient experience & call deflection?

Start with Support Agents

Want internal capability to build safely?

Add Skills Studio early