Recover Lost Revenue. Reduce Administrative Burden.
BreakthruAI Corp is a physician-led medical billing and administrative services firm serving independent practices across the United States. We handle billing, prior authorizations, referrals, refills, credentialing, and AR recovery - so your team can focus on patient care.
Optimize your medical billing workflows for faster claims and maximum revenue.
Custom software tailored for healthcare needs.
Future-ready solutions for clinical support.
Founded by Divesh Wadehra, MD
Founder & CEO
Dr. Wadehra is a physician who built BreakthruAI to solve a problem he watched play out from inside the exam room: independent practices losing time and revenue to administrative work that has nothing to do with patient care. BreakthruAI exists to give that time back.
About BreakthruAI Corp
At BreakthruAI Corp, we create AI-driven software that enhances healthcare efficiency, reduces provider burnout, and prioritizes patient care.
Our Mission
Our mission is to provide accurate, efficient, and transparent medical billing services that help healthcare providers maximize revenue, reduce administrative burden, and improve overall financial performance. We are committed to ensuring compliance, minimizing claim denials, and delivering timely reimbursements so providers can focus on delivering quality patient care.
What We Do
Medical Billing & Denial Management
Credentialing & Eligibility
Referral Management
Prescription Refill Support
AR Recovery & Underpayment Review
Charge entry, claims submission, payment posting, denial follow-up, and appeals. Designed to improve clean-claim rates and shorten days-in-accounts-receivable.
Prior Authorization Services
End-to-end submission, follow-up, and appeals for medications, imaging, procedures, biologics, and specialist referrals. We handle the calls, faxes, and payer portals.
Referral intake, processing, tracking, and confirmation with documentation hand-off and insurance verification built in.
EHR-based triage and processing of refill requests, with pharmacy coordination - all within your clinical protocols.
Payer enrollment, credentialing maintenance, and real-time eligibility and benefits verification.
Recovery of old unpaid claims and identification of underpayments against contracted rates. Performance-based pricing no recovery, no fee.
Sound Familiar?
If you run an independent practice, you have probably lived through some version of this:
Who We Are
We provide end-to-end Revenue Cycle Management services for specialty medical practices including Nephrology, Internal Medicine, Psychiatry, Cardiology, Pain Management, Home Health, Urgent Care, Diagnostic Labs, Dermatology, and Rheumatology nationwide.
Specialized Billing for Every Area of Care
Specialities
We provide end-to-end medical billing solutions tailored to a wide range of specialties. We help providers reduce denials and improve cash flow.
Our Medical Billing Expertise Covers
Physician Specialties
Therapy Services
Behavioral Health
Diagnostic
Labs
Surgical Specialist
Facility & Other Services
Don't see your specialty? Ask us — chances are we've worked it.
Our team is organized into specialty-focused units - surgical, home health, FQHC, mental and behavioral health, and internal medicine - with deep, specialty-specific expertise across more than 20 areas of medicine. Every specialty has its own coding nuances, payer rules, and authorization workflows, and we built our team and processes around that reality.
AI-Driven Solutions
Transforming healthcare with intelligent software to enhance efficiency and patient care.
Workflow Optimization
Streamline clinical tasks to reduce provider burnout and improve patient outcomes.
Custom Software Development
Tailored solutions for referrals, refills, and clinical decision support to fit your needs.
Future-ready solutions designed to adapt and evolve with healthcare demands.
Clinical Efficiency
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