Primary-care Administrative AI

Risorius develops AI for clinicians that reduces their workload by automating diagnostic support and administrative tasks in real care settings.
Risorius’ flagship solution Thalamus is primary-care administrative AI that starts with targeting appeals and expands to prior authorization, referrals, eligibility checks, and claims documentation. A separate diagnostic-support project runs in parallel, with a roadmap to unify workflow later.

Thalamus is the company’s administrative automation tool, focused on appeals, prior authorization, referrals, eligibility, and claims for primary care teams.
Connected to the EHR, Thalamus compiles encounters and clinical evidence, then drafts ready-to-submit documents grounded in clinical guidelines and payer policies. Each draft cites the exact passages it relies on, flags missing criteria, and applies payer- and service-line-specific templates.

For PA and referrals, Thalamus assembles one-click packets with required forms, checklists, and supporting notes for portal upload, EDI/API submission, or fax when required. A version-controlled, effective-date-aware library of guidelines and payer policies keeps reasoning consistent even as rules change.
Organizations adopt Thalamus to cut denial turnaround time, raise overturn rates, and reduce manual entry. A human-in-the-loop review flow, role-based access, and audit trails keep clinicians in control, while a dashboard tracks KPIs and ROI by payer and visit type.

Created with a HIPAA-first design and SOC 2 preparation underway, Thalamus deploys to cloud, on-premises, or VPC. Operations are standardized through interoperability via FHIR/HL7 and SSO, configurable worklists and queue automation. Granular analytics surface denial reasons and bottlenecks; outcome-linked learning improves suggestions over time, so teams start with appeals and scale across every aspect of administrative workflow.

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