Built by healthcare veterans who got tired of watching providers lose revenue they earned.
Over a decade and a half in healthcare — and years working directly inside medical billing and revenue cycle — showed us exactly where practices lose money they already earned. We built RSAI to close that gap permanently.
Healthcare providers spend more time fighting payers, chasing authorizations, and correcting denied claims than caring for patients. The average practice loses 15–20% of earned revenue to billing inefficiency — not because of bad staff, but because the systems were never designed to work together. (MGMA)
Revenue Stream AI changes that. Seven purpose-built Stream products. One shared data layer. A single platform that handles eligibility, authorizations, coding, claims, billing, and patient collections — end to end, without replacing your team.
Our mission: eliminate the administrative burden of getting paid so clinicians can focus on getting patients better.
AI Experience
Integrations
2027
Ready
Stream products and EHR integrations reflect current platform capabilities. Payer network via Availity clearinghouse enrollment. AI experience reflects combined founding team tenure. Industry billing loss data sourced from MGMA. CMS ePA mandate per CMS-0057-F: operational PA reforms effective January 1, 2026; full FHIR PA API mandate effective January 1, 2027.
A product team obsessed with
one problem: getting providers paid
RSAI was built from first principles by engineers and operators with hands-on medical billing and RCM experience since 2021 — combined with over a decade and a half in healthcare. No legacy software acquired. No feature bloat inherited. Built clean, built fast, built to last.
Built by RCM & AI Engineers
Our founder has been working directly in medical billing and revenue cycle management since 2021 — not observing from the outside, but inside the operations. We know exactly where practices lose money and why.
Combined with 11+ years of applied AI engineering, every Stream module is a purpose-built AI agent designed around the real workflows that billing teams face daily.
Revenue Stream AI, Inc.
AI-native from day one. The seven-Stream architecture was designed around the regulatory and operational mandates reshaping RCM through 2027 and beyond — not retrofitted to meet them.
GSA MAS contract holder. Availity clearinghouse enrolled. HIPAA BAA executed. AWS-hosted. Built for enterprise-grade healthcare delivery.
Security is the foundation, not a feature
Every layer of RSAI's infrastructure meets or exceeds healthcare data privacy and security requirements.
HIPAA
Full Privacy and Security Rule compliance. Executed BAAs for all PHI-handling subprocessors.
ActiveAWS BAA-Eligible
All production workloads on AWS infrastructure under Amazon's HIPAA Business Associate Agreement.
ActiveCloudflare Zero Trust
Zero Trust access controls and DDoS protection across all public-facing endpoints.
ActiveCMS-0057-F Ready
StreamAuth built to the CMS electronic prior authorization mandate. Effective January 1, 2027 — RSAI clients are ready from day one.
In DevelopmentTechnology that makes people better at their jobs
We build RSAI to amplify revenue cycle teams, not replace them. The AI absorbs the repetitive work; your people bring the judgment, the relationships, and the accountability. We actively recommend our customers keep their RCM staff to manage and oversee the platform.
What we stand for
Clinical First
Every feature is evaluated through one lens: does this make the provider's job easier and the patient's experience better?
Radical Transparency
No black-box AI. Every RSAI decision is explainable, auditable, and correctable by the humans who rely on it.
Security as Respect
Patient data is not a product. We treat PHI as if it belongs to the patient — because it does.
Built to Last
We design for the mandate deadlines two years out, not the ones already passed. Our roadmap leads the regulatory calendar — it does not follow it.