MedSynthea

Our Story

Healthcare teams shouldspend their time caring forpatients not chasing revenue

We started MedSynthea because healthcare organizations are overwhelmed by disconnected systems, manual workflows, and growing administrative burden.

Our mission is to give providers, billers, and administrators an intelligent revenue cycle platform that works alongside them, so they can focus on care, not paperwork.

  • Founded to solve

    Manual healthcare administration

  • Built for

    Providers, hospitals & health systems

  • Powered by

    52 specialized AI agents

Doctor smiling warmly while checking in with an elderly patient
52 AI AgentsWorking behind the scenes
  • Prior Authorization
  • Claims Processing
  • Payment Reconciliation
  • Denial Management
More time for careLess time on paperwork70%
A healthier revenue cycle for a healthier tomorrow

What We Built

A Platform, Nota Point Solution

Most RCM technology addresses a single stage of the revenue cycle. These point solutions create fragmented workflows with manual handoffs between each stage, and every handoff is an opportunity for data loss, error, and delay.

MedSynthea takes a different approach. We built a platform of 52 specialized AI agents that work across the entire revenue cycle in parallel, from intake to payment.

52 AI agents.One connected revenue cycle.

  • End-to-end automation
  • Agents work in parallel
  • Connected data and context
IntakeClinicalClaimsPayments
01APPT

Appointment Scheduling Agent

Supports appointment-related workflows and captures the operational context that affects the patient journey and downstream revenue cycle.

02ELIG

Eligibility Verification Agent

Runs real-time insurance eligibility verification and deep benefits analysis before patient encounters.

03SCRIBE

Clinical Transcription Agent

Handles clinical transcription and documentation, converting encounter audio into structured clinical notes.

04NOTE

Documentation Agent

Processes and structures clinical documentation for downstream coding and compliance review.

05CODE

Medical Coding Agent

Performs automated medical coding (ICD-10 and CPT), applying payer-specific rules and compliance checks.

06RISK

Denial Risk Agent

Runs denial risk prediction before claim submission, flagging potential issues based on payer rules and historical patterns.

07LEARN

Intelligence Agent

Applies continuous learning from claim outcomes to improve accuracy and adapt to changing payer behaviors.

08FLW

Follow-Up Agent

Manages autonomous outbound caller orchestration and claim follow-up workflows.

09EOB

Payment Posting Agent

Handles ERA/EOB processing, payment posting, and financial reconciliation.

10EHR

EHR Integrations Agent

Writes posted payments, adjustments, and patient balances back to the EHR via SMART on FHIR.

11CLR

Clearing House Agent

Moves remittance and claim traffic through clearinghouse channels so ERA/EOB data reaches payment posting across payers.

A connected workflow. No handoffs. No gaps.

These agents communicate with each other, passing context, flags, and evidence from one stage to the next. The result is a seamless revenue cycle from intake to payment.

Founding Team

MedSynthea is led by a multidisciplinary founding team bringing together AI engineering, healthcare technology, operations, and financial expertise to build a more autonomous approach to revenue cycle management.

  • Raja Aryaan Sarfraz

    Raja Aryaan Sarfraz

    Co-Founder & Forward Deployed AI Engineer

    Aryaan leads the development and real-world deployment of MedSynthea’s AI capabilities, working at the intersection of product, engineering, and customer needs. He plays a key role in translating healthcare revenue-cycle challenges into practical AI workflows and represents MedSynthea in early product, client, and accelerator conversations.

  • Ali Hamza

    Ali Hamza

    Co-Founder & Chief Technology Officer

    Hamza leads MedSynthea’s technology and engineering strategy, overseeing the architecture and development of the platform and its AI infrastructure. He focuses on building a secure, scalable technology foundation capable of supporting MedSynthea’s autonomous clinical RCM workflows.

  • Tasbhia Akbar

    Tasbhia Akbar

    Co-Founder & Chief Operating Officer

    Tasbhia leads operations, business development, partnerships, and execution at MedSynthea. She works across the technical and commercial sides of the company to translate strategy into execution as MedSynthea prepares for growth and commercialization in the U.S. healthcare market.

  • Ahmed Ranjha

    Ahmed Ranjha

    Co-Founder & Chief Financial Officer

    Ahmed leads financial strategy and commercial planning for MedSynthea, bringing experience and domain knowledge from the U.S. medical billing and revenue-cycle landscape. His role includes supporting the company’s financial model, commercialization strategy, and long-term growth planning.

Our Mission

Automate the Revenue Cycle.Empower the People.

Healthcare organizations exist to deliver patient care. But the administrative machinery required to get paid for that care (eligibility checks, documentation, coding, claims, denials, appeals, payment posting) consumes an outsized share of operational resources, talent, and attention.

MedSynthea's mission is to automate the repetitive, rule-based work that bogs down revenue cycle operations, so that healthcare teams can focus on the exceptions, decisions, and patient interactions that require human expertise. We do not believe in replacing billing teams with software. We believe in giving them tools that handle the volume while they handle the complexity.

Doctor smiling warmly while reviewing patient records on a laptop
From complexityDisconnected systems, manual processes
To possibilitiesIntelligent automation, happier teams

A healthier revenue cycle for a brighter tomorrow.

  • Less administrative burden
  • More time for patient care
  • Stronger financial outcomes
  • Happier, more empowered teams

Our mission is bigger than revenue.

It's about creating a healthcare system that can focus on what matters most — people.

  • People first

    Designed to support healthcare teams

  • Real impact

    Less admin work, more patient care

  • Built for trust

    Secure, compliant and accountable

What We Believe

Our Core Principles

These principles guide everything we build, from our technology to our partnerships, because a healthier revenue cycle starts with the right foundation.
01

Evidence over inference.

Every clinical note, billing code, and workflow decision in MedSynthea is linked to its source data. Our agents follow a strict rule of evidence — they do not generate outputs without verifiable clinical support.

Clinical Evidence

Verified
  • Source document
  • Clinical context
  • Guideline match

Patient Note

02

Security by architecture, not by policy.

We do not protect patient data by writing policies about data handling. We protect it by de-identifying PHI before it reaches any AI processing layer. Our PHI Scrubber and Token Vault ensure 0% PHI exposure in system logs, by design, not by discipline.

  • De-identify PHI
  • Tokenize data
  • Secure processing
  • No PHI in logs

0%

PHI exposure in system logs

03

Autonomy with human control.

Our agents handle the volume. Your team handles the exceptions. Every agent workflow includes configurable human review points for sensitive, high-impact, or ambiguous cases. The agents do not replace expert judgment — they ensure that expertise is applied where it matters most.

  • AI analysis
  • Human review
  • Approved

Reviewed by Care Team

Approved

Exception queue

3
  • Requires review — high value claim
  • Missing documentation
  • Unusual coding pattern
04

Integration, not replacement.

MedSynthea acts as a compliant middleware layer, using SMART on FHIR to connect with your existing EHR and practice management systems. We integrate with 50+ leading EHR platforms. No rip-and-replace. No data migration. No disruption to clinical workflows.

AdvancedMD
athenahealth
Cerner
drchrono
eClinicalWorks
Epic

50+ EHR Integrations

Built on SMART on FHIR

Clinical Versatility

Built for All Specialties

MedSynthea supports revenue cycle automation across 30+ clinical specialties, from primary care and family medicine to surgical specialties, mental health, radiology, physical therapy, DME, and more. Our agents are configured with specialty-specific coding logic, documentation requirements, and payer rules that reflect the clinical context of each practice.
DME
Cardiology
Dermatology
Mental Health
Pediatrics
Neurology
Oncology
Orthopedics
Radiology
Physical Therapy
Primary Care
General Surgery
Pain Management
Urology
And 16+ More
Specialty-Specific Intelligence

Different specialties.Same intelligent platform.

  • Specialty-specific coding logic
  • Documentation requirements
  • Payer rule configurations
  • Continuous learning from real claims
  • Improved accuracy and faster reimbursement

Built to adapt as healthcare evolves.

30+

Clinical specialties supported

100M+

Specialty-specific coding rules

99%+

Accuracy across specialties

Faster

Reimbursement for every specialty

Ecosystem Compatibility

Experience with Over 50+ Leading EHR Systems

MedSynthea integrates with the healthcare industry's most prominent EHR and practice management platforms, enabling a seamless, secure, and scalable connection to your existing workflows.
AdvancedMD
athenahealth
Availity
CareCloud
Cerner
CollaborateMD
drchrono
e-MDs
eClinicalWorks
Epic
inSync
kareo
Next Step Solutions
Office Ally
Prime Clinical Systems
webpt
Built to Integrate

Works with your existing systems.

No rip-and-replace. No data migration. MedSynthea connects seamlessly with your current EHR and practice management systems using secure, standards-based integrations.

  • SMART on FHIR
  • HL7 & API support
  • Enterprise-grade security
  • Fast and reliable onboarding

50+

EHR & PM systems

10,000+

Provider organizations

99.9%

Secure data exchange

Faster

Time to value

Measured Outcomes

What MedSynthea Delivers

Real results for healthcare organizations. A more efficient revenue cycle, higher financial performance, and stronger operational control.

5–7%

Revenue Uplift

Increase in net revenue across the provider network.

Higher revenue

70%

Operational Savings

Reduction in manual intervention across RCM workflows.

Less manual work

99%+

Claim Accuracy

Submission accuracy with fewer denials and rework.

Fewer denials

10×

Processing Scale

More claims per day with the same headcount.

Greater efficiency

4.2×

Payment Speed

Faster payment cycles from claim submission to reimbursement.

Get paid faster

0%

PHI Exposure

No PHI in system logs with built-in de-identification and tokenization.

Enterprise grade

100%

Evidence Trail

Full traceability for every decision, claim, and workflow step.

Audit ready

Happier Teams

Stronger Focus

Reduce administrative burden so teams can focus on patient care.

Better work experience
The Impact

Better outcomesfor a healthierhealthcare system.

MedSynthea helps healthcare organizations operate more efficiently, capture more revenue, and deliver better care — at scale.

+5–7%

Revenue Uplift

Baseline
With MedSynthea

Measurable impact.

Lasting change.

Results may vary based on organization size, specialty mix, and existing workflows.

Platform Roadmap

The Path to Autonomous Intelligence

MedSynthea scales revenue operations through an evolving, parallel agent network. Each phase adds specialized intelligence layers that expand coverage across the revenue cycle without disrupting current operations.

Phase 1

Q1 2026

Phase 2

Q2 2026

Phase 3

Q3 2026

Phase 4

Q4 2026

Current

Software Capabilities

A solid foundation built for scale.

  • Core platform
  • EHR integrations
  • Security & compliance
  • Workflow infrastructure

52

Core Agents

Deployed and operational

In Progress

Intelligence Layer

Expand clinical and payer intelligence across the revenue cycle.

  • Specialty-specific models
  • Payer behavior learning
  • Real-time intelligence
  • Continuous model training

+5

Intelligence Agents

In development

Planned

Process Automation

Automate more workflows end-to-end.

  • End-to-end automation
  • Cross-functional workflows
  • Exception handling
  • Human-in-the-loop controls

+4

Automation Agents

Planned for Q3 2026

Planned

Advanced Analytics

Turn operational data into predictive insights.

  • Predictive analytics
  • Revenue leakage detection
  • Provider performance insights
  • Strategic recommendations

+3

Analytics Agents

Planned for Q4 2026

A more intelligent,
more efficient future for healthcare.

Our roadmap is designed to deliver continuous value — adding new capabilities, expanding intelligence, and automating more of the revenue cycle over time.

Timelines are estimates and may be adjusted based on customer needs, regulatory changes, and technological advancements.

Customer Perspective

“Denial rates dropped the moment authorization status became visible to everyone. Fewer resubmissions, faster reimbursement.”

RC

Dr. Raymond Cole

Director of Revenue Cycle · Harborview Medical Center

Dr. Raymond Cole

Real Results.
Healthier Systems.

5–7%

Revenue Uplift

70%

Less Manual Work

99%+

Claim Accuracy

app.medsynthea.com

Good morning, Dr. Smith

Mar 1 – Jun 30 overview

Last 120 days

Claims Processed

1,248

+12%

Revenue Recovered

$86,420

+18%

Denial Rate

4.2%

-40%

Revenue Trend

Feb – Jun

Faster PaymentsGet paid up to 30% faster.
Lower DenialsReduce denials by up to 60%.
More Time for CareStreamline workflows.

— Get Started

Ready to transform your revenue cycle?

Join healthcare organizations that trust MedSynthea to reduce denials, improve cash flow, and streamline operations with AI-powered automation.

  • Faster reimbursement cycles

    Get paid faster with fewer delays.

  • Fewer manual workflows

    Increase efficiency across your team.

  • AI agents working 24/7

    Automate repetitive tasks.

  • Enterprise-grade security

    HIPAA compliant and secure.

  • Implementation support
  • No workflow disruption
  • Works with existing EHR systems