The first Unified Automation solution built specifically for healthcare revenue cycle management. The brilliance of Unified Automation is not only its ability to observe actions, learn them, and perform them faster and more accurately than people. Unified Automation is especially brilliant because it is antifragile, which extends beyond simple resilience or robustness. Resilient systems resist variance and disorder and stay the same; an antifragile system thrives and improves as a result of that same variance and disorder. Combined with the expertise of our revenue cycle operations analysts, Unified Automation delivers unparalleled efficiency in RCM. Here’s how it works: OBSERVE We get a 360-degree view of your RCM processes. Our proprietary software gathers multi-modal data to capture work variations. LEARN Our team discretizes the data to train our machine-learning algorithm. Our algorithms then automatically construct complex flows that would be impossible to script by hand. Our model also identifies broken workflows and corrects them, often eliminating unnecessary work. PERFORM Our solution works 24/7 using the processes learned from your staff and automates full functions, quickly taking on new tasks over time. There’s no disruption to staff, no new software for your team to learn. If complexities arise, our inhouse team of RCM experts are notified to triage the problem and resolve in real-time while our solution learns from the actions they take. Your RCM operations continue uninterrupted. Continuous learning is built in, providing you with peace of mind, always.

At Alpha Health we believe every dollar spent on healthcare matters, because healthcare matters to everyone. We believe complexity in medical billing and reimbursement in the United States drives up hidden costs that we all pay, both in terms of dollars and in the erosion of trust people have that our healthcare system will serve them well. We believe that by bringing together the best of people, data, and technology to address financial complexity in our healthcare system, Alpha Health serves as a powerful force for restoring trust to healthcare in the US. Alpha Health is pioneering Unified Automation for healthcare revenue cycle management. Unified Automation brings together the best of people, data and machine learning technology to address financial complexity in our healthcare system. Ultimately, we help providers be better stewards of the healthcare dollar.

There is a different way to work. If you were to reimagine the way you run your business, what would you do differently? What if you could save up to 80% of your operational costs by reimagining the way business outcomes are delivered?

Through the power of automation emerging technologies, we challenge you to think differently about how you work and how you use your people to full effective.

We can help you across the automation journey from thinking through your strategy to implementing and executing robotic process automation, machine learning and other emerging technologies across the enterprise.  

Revenue Cycle Management:

Prior Authorization ​

Insurance Claims - Posting

Patient Payment - Posting

Coordination of Benefits: Primary, Secondary, & Tertiary

Revenue Integrity - Payment Audits (Under & Over)

Provider: Insurance Enrollment

Revenue Integrity - Charge Description Master (CDM) Management

Revenue Integrity - IME or IMR Audits (CMS & Medicare Advantage)

Insurance Claims - Denied & Rejected Follow-Up

TQA Healthcare enables healthcare and life sciences organizations to transform the patient experience and reduce costs through increased personalization, intelligent automation, and AI. 

The practice’s solutions impact patient access, the revenue cycle, order processing, and clinical needs at the most critical stages of the patient journey, resulting in a seamless encounter.

By empowering individuals to actively manage their unique experiences, TQA Healthcare increases the satisfaction of every healthcare consumer: patients, staff, and clinicians.

Houston-based, TQA Healthcare is formerly Element Blue. 

Mitigate Financial Risk By Fundamentally Restructuring Operating Costs Health systems are preparing for a significant (and likely unfavorable) shift in payer mix. This transformation of the reimbursement landscape will accelerate and intensify existing efforts to not simply reduce, but dramatically restructure operating costs. By combining advanced machine learning technology and deep domain expertise, a Unified Automation approach enables RCM leaders to upgrade their organization to an entirely different cost structure.

Unified Automation is a unique approach because it seamlessly blends human judgement and subject matter expertise with machine learning. Unified Automation is also antifragile. This means it extends beyond simple resilience or robustness. Resilient systems resist variance and disorder and stay the same; an antifragile system thrives and improves as a result of that same variance and disorder. Traditional revenue cycle vendors are focused on staff augmentation platforms that require intensive and continuous maintenance resulting in increased costs. These platforms do not significantly bend the cost curve when it comes to revenue cycle performance. Alpha Health is the only Unified Automation platform dedicated to revenue cycle. Hidden costs destroy restructuring efforts. At Alpha Health, our Unified Automation solution is purpose-built for the healthcare revenue cycle. We provide every component necessary to deploy and maintain automation in production. Coupled with our straightforward shared savings model, we can ensure transparent costs tied to real output and value. $3.41 hidden costs for every $1 spent on RPA Bot Creation and Maintenance. Alpha Health provides our clients a way to secure dramatic value with a new cost model. One with no surprises, transparent shared savings via Unified Automation While other automation solutions rely on armies of onsite consultants to shadow your staff, our deployment model has always been built on the mantra of “innovation without disruption.” This approach has always meant minimal in-person and onsite time, and we have completed entire end-to-end production deployments fully remotely.

While EHRs offers integration tools, achieving seamless data exchange, particularly with non-EHR systems, can be challenging due to their limited interoperability.

This can create communication hurdles between providers using different EHRs, healthcare facilities not on a particular EHR, and providers who need to integrate with other advanced technology platforms outside of the EHR ecosystem.

Element Blue's solutions can integrate with any platform and are independent of particular products or technologies. This affords our teams unlimited creativity when ideating custom solutions for each healthcare organization.

Element Blue's practice is dedicated exclusively to healthcare and life sciences. This is unique among our UiPath competitors, who serve multiple industry verticals.

A UiPath Platinum partner, Element Blue is recognized as a leading systems integrator with more than 20 years' experience in working with some of the world's best known providers, payers, diagnostics, and life sciences organizations.