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Ensuring care continuity.Protecting revenue. EnsureCare builds AI agents that find care at risk of being missed, resolve the barrier with the patient, and record every step in the EHR.
The problem
Scheduled caredoesn’t always happen. Up to 32% of appointments end in a no-show or same-day cancellation, across specialties.
Lin et al., J Appl Stat, 2020 46% of referrals had no recorded completed visit, across 247,187 referrals at 39 clinics.
Erfani et al., JAMA Netw Open, 2025 95% of physicians say prior authorization delays care.
AMA Prior Authorization Survey, 2025 Our mission
No patient should miss essential care , and no health system should lose revenue , because risk went unseen or action came too late. 01 See every gap Reveal the patient, operational, and financial risks that lead to a missed visit.
02 Predict risk early Identify the patients, barriers, and moments most likely to keep a patient from their care.
03 Prevent missed care Act before an appointment is missed, a referral stalls, or a medication lapses.
04 Protect revenue Keep scheduled visits, referrals, and claims from turning into lost revenue.
Product
One platform.Every handoff. AI agents on the CAIR platform work each case inside the EHR, from the first signal to the outcome. Pick a workflow below, or let it play.
From a missing ride to a kept visit
Appointments Referrals Prior-Auth & Denials Prior-Auth & Denials Prevent no-shows. Resolve barriers before patients miss care. Patients get the support they need to make it to their visit. Your team gets full visibility and control.
See the full journey Prevent referral leakage. From referral to care received. Connect referring providers, specialists, and patients to ensure every referral leads to care.
See the full journey Prevent denied claims. Catch the gap before the claim. Bring coverage, authorization, and documentation into the same workflow.
See the full journey See which visits are at risk, and why. Carlos, 68 Cardiology · Thu, 10:30 AM Prefers Spanish · Daughter is proxy
82/100 Needs outreach
Why this visit is flagged Contribution
Distance from clinic 38%
2 prior no-shows 34%
No transport on file 28%
Illustrative patient scenario, not live patient data.
Personalized interventions. Language, transportation, reschedules, cancellations, and more.
Phone call 00:14 EnsureCare Your care team
Hola Carlos, ¿podrá llegar a su cita del jueves?
No tengo transporte.
EnsureCare Text message · Español Hola Carlos, ¿podrá llegar a su cita de cardiología el jueves a las 10:30 a. m.?Can you make your cardiology appointment Thursday at 10:30 AM?
No tengo cómo llegar.I don’t have a way to get there.
Puedo coordinar un viaje cubierto por su plan de salud. ¿Le ayudaría?I can arrange a ride covered by your health plan. Would that help?
Sí, por favor.Yes, please.
Every update lands in your EHR. EHR / Care coordination update
Carlos · Cardiology follow-up
Barrier Transportation
Eligibility Transportation benefit confirmed
Action Ride arranged with patient agreement
Patient informed Carlos informed in Spanish; his daughter (proxy) notified
Next verification Visit completion pending From a risk flag to a clear next step. Patient Knows the next step
Care team Has the latest context
Health system Trace actions and follow-through
Visit completion is verified after the appointment.
A referral arrives by fax. EnsureCare reads it.Fax · 2 pages Referral request
Read by EnsureCare
Specialist referral
Patient Maria Gonzalez, 58
Referred by Riverside Primary Care
Reason Cardiology · Abnormal ECG
Urgency See within 14 days
Coverage In-network plan verified
Prior echo date Unclear · Sent to staff review
The right specialist. Then a time that works for Maria. Lakeside Cardiology In network · 4 miles from home · Openings this week
EnsureCare · Text messageHi Maria, Lakeside Cardiology can see you Tuesday at 2:00 PM or Wednesday at 8:30 AM. Which works better?
Maria Wednesday morning, before my shift.
Booked in the EHR. Both teams informed. EHR / Referral update
Maria Gonzalez · Cardiology referral
Appointment Lakeside Cardiology · Wed 8:30 AM
Referral packet Sent to cardiology before the visit
Reminder Text to Maria the day before
Referring provider Status updated to Scheduled
Next verification Consult note pending The consult note goes back to the referring doctor. Patient Gets the care they need
Specialist Has the full context
Referring provider Sees the loop closed
The referral closes only when the result reaches the referring provider.
An MRI is scheduled. EnsureCare checks what the payer needs.Checked by EnsureCare
James Thompson · Knee MRI, Mon 9:00 AM
Eligibility & benefits Verified
Prior auth Required by the payer
Payer rule 6 weeks of physical therapy documented
Clinical note Supports the order
Denial risk High · PT notes missing
The gap goes to the clinician, in their workflow. EnsureCare · EHR messageThe payer requires 6 weeks of physical therapy documented for this MRI. Can you add it to the note?
Dr. Lee · Ordering clinician PT notes attached to the order.
Complete package. Submitted to the payer. EHR / Prior-auth request
James Thompson · Knee MRI
Submitted In the payer’s required format
Attached Order, clinical note, PT notes
Payer rules All requirements met
Visit Mon 9:00 AM · On schedule
Next verification Payer decision pending Decision tracked. The visit stays on schedule. Patient Care stays on schedule
Care team Knows what’s needed
Revenue cycle Submits complete claims
Approval is the payer’s decision. For denied claims, EnsureCare prepares the appeal with the evidence.
See which visits are at risk, and why. Appointments at risk Active Patient Appointment Risk
Maria G. Primary care · Wed 9:00 AM – Carlos Cardiology · Thu 10:30 AM – James T. Orthopedics · Thu 1:15 PM – Linda N. Behavioral health · Fri 9:30 AM – David K. Endocrinology · Fri 2:00 PM – Carlos, 68 Cardiology · Thu, 10:30 AM Prefers Spanish · Daughter is proxy
82/100 Needs outreach
Why this visit is flagged Contribution
Distance from clinic 38%
2 prior no-shows 34%
No transport on file 28%
Illustrative patient scenario, not live patient data.
Personalized interventions. Language, transportation, reschedules, cancellations, and more.
Phone call 00:14 EnsureCare Your care team
Hola Carlos, ¿podrá llegar a su cita del jueves?
No tengo transporte.
EnsureCare Text message · Español Hola Carlos, ¿podrá llegar a su cita de cardiología el jueves a las 10:30 a. m.?Can you make your cardiology appointment Thursday at 10:30 AM?
No tengo cómo llegar.I don’t have a way to get there.
Puedo coordinar un viaje cubierto por su plan de salud. ¿Le ayudaría?I can arrange a ride covered by your health plan. Would that help?
Sí, por favor.Yes, please.
Every update lands in your EHR. EHR / Care coordination update
Carlos · Cardiology follow-up
Barrier Transportation
Eligibility Transportation benefit confirmed
Action Ride arranged with patient agreement
Patient informed Carlos informed in Spanish; his daughter (proxy) notified
Next verification Visit completion pending From a risk flag to a clear next step. Patient Knows the next step
Care team Has the latest context
Health system Trace actions and follow-through
Visit completion is verified after the appointment.
Explore the platform
Thesis
Healthcare runs on transactions.Patients need continuity. Appointments get scheduled, referrals get sent, and prescriptions get written, but the systems that record them don’t check whether the patient gets the care. EnsureCare adds that layer: agents that see what stands between a patient and their care, act on it, and hand people the judgment calls.
01 Inside the EHR The agents work in the EHR care teams already use, so there is no new application to adopt.
02 One journey, not five tools A patient’s referral, authorization, visit, and follow-up are worked as one path across modules.
03 Continuously learning & self-improving Each deployment shows which actions closed which gaps, and that shapes how the agents choose the next step.
Business model
Priced on the workwe handle. Priced per unit of work, such as an appointment, a referral ordered, or a claim.
Standard volume Per-unit pricing An accessible entry point for smaller organizations.
Enterprise volume A discounted per-unit rate The rate falls as volume grows, so price scales with use.
Team
Built by healthcare operators. Suman Mishra CEO, Founder
Former Kaiser Permanente, Visa. 20+ years in healthcare technology and provider operations.
Rajesh Thallam CTO, Co-founder
Former Google, AWS, Kaiser Permanente, JP Morgan. 20+ years in AI-native product development and data platforms.
Built with clinicians, advisors & engineers from
Request theinvestor deck. The deck covers our plan, market, and financials.
EnsureCareAI agent for appointments
Appointments at riskActive
