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Cascade — The AI Agent Platform for Revenue Cycle Management

Introducing Cascade

The AI Agent Platform for Revenue
Cycle Management

75% fewer admin hours

AI agents navigating payer portals to investigate and resolve stalled claims

Financial outcomes

TAHOMA DRIVES MEASURABLE IMPACT ACROSS

Audit readiness
EBITDA
Free cash flow
SG&A efficiency

Lower cost per claim through automation. Fewer manual touches, less rework, direct margin improvement.

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Cascade

Cascade surfaces inside your browser as your team works — drafting claims, explaining denial codes using your actual payer rules, and flagging submission errors before they become write-offs. One conversation for work that used to take ten tabs.

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AI Agents

Six agents. Every stage of the revenue cycle.

AI Agents are software workers. Each one logs into payer portals, navigates forms, submits documents, and takes action the same way a billing specialist would — except they run continuously, eliminate data-entry errors, and scale without adding headcount.

Eligibility

SAGE

$15K+ prevented monthly

Verifies coverage in real time before and at the point of care. Checks eligibility across payers, surfaces benefit details, and flags coverage gaps before they become denied claims.

Claims

ATLAS

95%+ clean claim rate

Builds, validates, and submits claims with payer-specific formatting applied automatically. Catches coding errors before submission — not after rejection.

Claim Status

SCOUT

Logs into payer portals, looks up every open claim, and captures its current status. Writes the result back to your EHR or PMS — or to Tahoma and your connected tools — so no one checks a portal by hand.

A/R Follow-Up

ZEPHYR

20-day reduction in A/R aging

Tracks aging claims and ranks them by balance, days outstanding, and payer behavior. Follows up with payers on stalled claims — corrected information, reconsiderations, resubmissions — and hands denials to ARIA.

Denials

ARIA

30% more recovered

Predicts denials before they happen, then works the ones that land. Pulls the denial reason, identifies the correct appeal pathway, drafts medical necessity documentation, and submits — without a biller touching it.

Payment Posting

PACE

90% reduction in manual posting time

Posts ERA remittances to your PMS, matches every payment to its claim, and reconciles accounts. Flags underpayments against expected amounts so nothing slips through.

See it in action

Vault — Intelligence Layer

Your methodology. Consistent across every team, every engagement.

Your best people have spent years learning how payers behave, what denials to fight, and how to get claims paid. That knowledge shouldn't live in their heads alone — or disappear when they leave. Vault captures your team's methodology and applies it uniformly across every engagement you run. Your playbook, protected. Nothing crosses between the clients you serve.

  • Your methodology is yours — never shared outside your organization
  • Each engagement runs in full isolation — nothing bleeds across your client base
  • Full audit trail on every decision — you control what it knows and how it acts
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Fully isolated

No data or rules cross between the clients you serve

Yours to audit

Every decision logged, reviewable, under your control

Every clinic covered

Scales your best work across every location you support

Browser + computer use

If your team can log in, our agents can work it.

Tahoma agents operate payer portals, EHRs, clearinghouses, and legacy systems the same way a human does — visually, through the interface. No API. No integration project. No rip and replace.

Tier 01

Standard portals & web interfaces

Deterministic scripted logic — fast and consistent at scale.

Tier 02

Dynamic & visually complex UIs

Agents see and navigate like a human — adapting when layouts change.

Tier 03

Legacy terminal & desktop systems

Terminal emulators, host systems, and desktop apps with no web interface.

EHR platformsPayer portalsClearinghousesPractice managementRevenue cycle platformsLegacy terminal / host systemsDesktop billing apps
See the full ecosystem

FAQ

Common questions

Quick answers to the questions we hear most. For the full list, visit our FAQ page.