Taiga

Taiga is an AI-native medical billing service that handles coding, claims, denials

HealthTech · AI / ML · SaaS Live product
0
0
10/19/2026

The Problem

Independent medical practices lose time and revenue to manual billing workflows. When coding, charge entry, and review sit in manual queues, claims go out days later than they should, sometimes a Monday encounter is not submitted until Friday. Payers use automated systems to fast-track clean claims but reject anything missing a modifier, authorization, or documentation signal, pushing it into weeks of manual review. Because appealing small denials takes staff time that is not worth it economically, practices write off small underpayments, and that leakage compounds over time.

The Solution

Taiga connects directly to a practice's EHR (including DrChrono, athenahealth, and eClinicalWorks) to read patient, visit, and documentation data without manual chart exports. It runs pre-visit eligibility and benefits checks, scrubs clinical notes for medical necessity, and structures claims so that, per the page, 98% pay without intervention. When payers make mistakes, Taiga automatically files appeals rather than relying on staff bandwidth, and it reconciles ERAs so each outcome feeds back into future claim accuracy. Every generated code is reviewed and approved by the practice's physicians before submission, and the service covers commercial carriers, Medicare, Medicaid, TRICARE, and specialty networks. Pricing is a percentage of collections that decreases as a practice's revenue grows, with no setup fees or per-claim charges, and onboarding is described as taking about two weeks.

Taiga