Solum Health
Annie by Solum Health automates insurance verification and prior authorization so specialty clinics clear benefits before the visit.
Annie attacks one expensive, well-defined problem — getting specialty patients verified and authorized before the visit — across four modules in a single pipeline, which is more scope than most authorization point tools. The outcome-based fee is genuinely unusual for healthcare software and puts the risk on Solum rather than on you. Thin-referral solo practices won't generate enough outcomes to justify the setup; high-denial specialties and multi-site groups will see the math work.
Verified 11h ago · liveness 52/100 · cite: rightaichoice.com/tools/solum-health
- ABA therapy practices juggling multi-payer authorizations and re-auth deadlines across dozens of patients
- PT and rehabilitation clinics where referrals and eligibility checks stall the schedule
- Infusion centers needing therapy-specific prior auths cleared before every appointment
- Multi-location MSOs standardizing intake and authorization workflows across sites
- Solo practitioners with low referral volume where outcome-based pricing never moves the needle
- Non-healthcare businesses looking for a general-purpose AI assistant
- Organizations requiring on-premise deployment or full infrastructure control
We scan live Reddit threads, YouTube comments, X posts, G2 reviews and other communities — and hand you an honest verdict in under a minute.
- Honest verdict, not marketing
- Real pros & cons from real users
- Attributed quotes with receipts
3 free scans · no card needed
Skip Solum Health if your referral volume and denial rate are low enough that there are no outcomes to measure — the outcome-based model needs billable, verified visits to move.
Because you pay by outcomes achieved rather than per seat, your monthly bill scales with volume — a busy month after a slow one will look different, so budget against your seasonal peak, not your average.
Pricing is outcome-based and quoted after a free assessment, with no published tier list, so Solum sits outside the predictable-per-seat shelf occupied by most RCM point tools. That structure fits multi-provider practices and MSOs where verified visits and cleared authorizations are frequent and measurable. Single-provider clinics that balk at variable bills should ask for a floor and ceiling on the outcome model before committing.
In short
Solum Health — Annie by Solum Health automates insurance verification and prior authorization so specialty clinics clear benefits before the visit. Best for ABA therapy practices juggling multi-payer authorizations and re-auth deadlines across dozens of patients, PT and rehabilitation clinics where referrals and eligibility checks stall the schedule, Infusion centers needing therapy-specific prior auths cleared before every appointment. Free to use.
What's new in Solum Health
Checked 5 days agoAcross the latest 4 updates: 4 news mentions.
What ABA Practice Owners Should Do Now About the New HHS Medicaid Audit Push
Compliance guidance for ABA practices facing a new five-year HHS Medicaid audit push, written to help them avoid common audit pitfalls.
How AI Can Help Specialty Clinics Solve The $200 Billion Admin Problem
JP Montoya explains how agentic AI addresses prior authorization, denials and documentation in specialty clinics, framing the problem Solum's four modules target.
Getting Healthcare AI Right: Lessons From Building It, Buying It And Watching It Break
Six lessons on where healthcare AI implementations fail, drawn from Solum's own build-and-buy experience, aimed at buyers structuring an evaluation.
The 2026 Healthcare AI Regulatory Landscape: What Providers Need to Know
An overview of 250+ healthcare AI bills across 47 states plus CMS's new WISeR program, giving providers regulatory context before adopting AI tools.
What people actually say about Solum Health — is it worth it?
We scanned public community sources for Solum Health on Jul 3, 2026 and could not establish that the discussion we found is about this tool rather than something else sharing its name. Our own analysis of that scan says the posts were off-subject. Rather than publish a sentiment score built on the wrong subject, we publish nothing here and re-run the scan.
Viability Score
How well maintained and how widely used is Solum Health? Built from what the vendor actually publishes (docs, changelog, tutorials, integrations, pricing), whether the site is live, and how much real users discuss it. How we calculate this
Last calculated: October 2026
How we score →Key Features
- AI referral data extraction from faxes, portals and emails
- Field-level extraction of patient, guardian, referring provider, NPI, ICD-10 and requested CPT codes
- Real-time insurance eligibility checks and full verification-of-benefits breakdowns
- Benefit detail by CPT code: copay, coinsurance, deductible, OOP max, place of service and auth requirements
- Batch eligibility verification across the patient schedule
- Prior authorization auto-submission directly to payers
- Treatment authorization and re-authorization deadline tracking
- Real-time auth status tracking with automated follow-up and escalation
- Payer intelligence scoring approval likelihood by payer, state and diagnosis
- Appeal drafting and appeal status tracking after denials
- Coverage monitoring for TPA/MCO changes, plan terminations and member ID updates
- Proactive re-verification triggers when coverage shifts mid-episode
- Automated document collection and intake checklist tracking
- Automated patient follow-up sequences by SMS and email
- Direct EHR synchronization with verified benefits and auth records
About Solum Health
Annie is an AI front-office manager for specialty healthcare practices — the intake, eligibility and authorization work that keeps staff on the phone. Referrals arriving by fax, portal or email get extracted field-by-field (patient, guardian, referring provider, NPI, ICD-10, requested CPT codes), checked against an intake checklist, and missing documents chased down automatically. The verified record syncs to the EHR, with CentralReach and WebPT appearing by name in the product's own sample workflows. The platform runs as four modules: CRM & Patient Management (one pipeline from referral to verified, authorized patient with workflow triggers, task routing and no-show backfill), Intake Automation, Prior Authorization & Referrals, and Insurance Discovery & Monitoring. Verification pulls a full benefit breakdown by CPT code — deductible, copay, coinsurance, OOP max, place of service and auth requirements — and the sample 271 response shows limits tracked as visits used versus remaining. Coverage Monitoring watches the whole patient base for TPA swaps, MCO changes and plan terminations like Humana terminating 08/31, then triggers re-verification. For authorizations, Annie submits prior, treatment and re-authorization requests directly to payers, tracks every status change, watches re-auth deadlines and escalates. The demo auth record shows a partial approval for ABA CPT 97153 (1,820 of 2,080 units approved, 260 units in Level 1 appeal) with payer intelligence scoring Aetna ABA in Texas at 86% approval likelihood. Published vertical workflows cover ABA therapy, PT and rehabilitation, speech and OT, multi-specialty groups, infusion centers, imaging centers, home health, billing and RCM teams, and MSOs. The site advertises HIPAA compliance, SOC 2 Type II, AES-256 encryption and 40+ EHR connections. Pricing is outcome-based — Solum's pricing page states you "pay only by outcomes achieved and KPIs met," with results driving the fee. There is no published rate card; entry
Behind the Verdict
Where Annie earns its keep is the space between referral and first billable visit. That's where ABA, PT and infusion clinics burn staff hours on faxes, portal logins and payer hold music. The sample records on Solum's own site are more telling than the marketing: a Cigna PPO verification with per-CPT copays and a 30-visit combined PT/OT/ST limit, an ABA treatment auth that came back partially approved and went to Level 1 appeal with a decision due 10/22/2026. Pick this if you run multi-payer authorization volume and employ people whose week disappears into verification calls. The coverage monitoring module is the sleeper feature — Solum's batch example compared 216 checks and found 23 changes including MCO switches, TPA changes and terminations, each routed to a task or updated in the EHR. Practices that get blindsided by mid-episode coverage shifts should care about that more than the intake flash. Pass if you're a solo practitioner with a thin referral stream. Outcome-based pricing means the fee tracks the results Annie produces, so low volume means low value against real onboarding effort. You also need a documented intake workflow — automation amplifies a process, it doesn't invent one. And if you need on-premise deployment or full infrastructure control, this isn't the shape of product Solum sells. The closest alternatives are RCM and eligibility point tools that automate one slice, usually verification or clearinghouse checks, and bill per seat regardless of whether the auth clears. Annie's pitch is breadth — intake, CRM, auth and monitoring — under one outcome-linked fee. In practice, judge it on your own denial and re-auth data: if you can name the payers and CPT codes that eat your front office, bring those to the assessment and make Solum show Annie
Researching Solum Health? Get your full AI stack in 60 seconds.
Free, no signup — tell us your goal and get tools matched to your budget & existing stack.
Real-world workflow fit
Concrete scenarios for the personas Solum Health actually fits — and what changes day-one when you adopt it.
A referring pediatric practice faxes a three-page referral for an ABA assessment (97151). Annie scans it, extracts ten fields including the ICD-10 diagnosis and Aetna member ID, texts the guardian a link to the intake packet, and receives the signed packet, insurance card and diagnostic evaluation the next morning.
Outcome: Demographics, payer and four documents sync to CentralReach, and the eligibility check plus prior authorization are queued — the front desk never touches the fax.
Annie watches the whole patient base for payer changes; when a family's coverage switches from a commercial plan to Medi-Cal mid-episode, the monitoring layer flags it and re-verification fires before the next appointment.
Outcome: The change is caught in the monitoring layer instead of at the front desk when the card bounces, and the location keeps its conversion rate on new referrals.
Prior auths are auto-submitted with denial prevention analytics flagging coverage gaps before submission, and the dashboard tracks each authorization's status with automated escalation on stalls.
Outcome: Fewer denied claims reach the payer at all, and the team spends its time on exceptions rather than status calls.
Use Cases
- Extract referral data from faxes, portals and emails and chase missing documents until intake is complete.
- Verify patient insurance eligibility and pull full benefit breakdowns before the visit.
- Auto-submit prior authorizations to payers and track every status change with escalation.
- Monitor the patient base for TPA/MCO switches, plan terminations and coverage lapses, then re-verify automatically.
- Run a single multi-location patient pipeline from referral through verified, authorized visit.
- Fill last-minute cancellations with waitlist management and no-show backfill.
- Give billing and RCM teams denial prevention analytics before claims go out.
Limitations
- Solum Health publishes no rate card; pricing is outcome-based ("pay only by outcomes achieved and KPIs met") and a custom ROI estimate comes from a free 15-minute assessment, making budgeting a conversation rather than a lookup.
- The site advertises "40+ EHR Connections" but does not itemize them — CentralReach is the only system named anywhere in the scraped pages.
- AI Conversations is explicitly labeled BETA in the product dashboard.
- No underlying AI model names are published in the scraped evidence.
as of 2026-09-27
Verification history
We have re-verified Solum Health 8 times since . Each pass re-reads the vendor's own pages and re-checks every listed field against that evidence; passes where nothing had changed are marked as such.
- — re-verified summary, description, our verdict, our analysis, pricing model, pricing tiers, features, integrations, who it suits, who should skip it
- — re-verified summary, description, our verdict, our analysis, pricing model, pricing tiers, features, integrations, who it suits, who should skip it
- — re-verified summary, description, our verdict, our analysis, pricing model, pricing tiers, features, integrations, who it suits, who should skip it
- — re-checked, vendor evidence unchanged
- — re-verified summary, description, our verdict, our analysis, pricing model, pricing tiers, features, integrations, who it suits, who should skip it
- — re-checked, vendor evidence unchanged
Showing the 6 most recent of 8 verification passes.
Free to cite with attribution — this page re-verifies continuously.
12-month cost
Project the real annual outlay, including the implied monthly cost when only an annual tier is published.
Vendor list price only. Add-on usage, seat overages, and contract minimums are surfaced under Hidden costs & gotchas.
Where the pricing makes sense
The company stage and team size where Solum Health's pricing actually pencils out — and where peers do it cheaper.
Pricing is outcome-based and quoted after a free assessment, with no published tier list, so Solum sits outside the predictable-per-seat shelf occupied by most RCM point tools. That structure fits multi-provider practices and MSOs where verified visits and cleared authorizations are frequent and measurable. Single-provider clinics that balk at variable bills should ask for a floor and ceiling on the outcome model before committing.
Setup time & first value
How long it actually takes to get something useful out of Solum Health — broken out by persona, not the marketing-page minute.
Expect days, not hours, for first value — you start with a free 15-minute assessment covering a personalized workflow audit, a live Annie demo and a custom ROI estimate, then the intake workflow, document checklist and EHR sync have to be configured against your actual payer mix. Practices already running a documented intake process move faster; those without one spend extra time defining it
Switching to or from Solum Health
How to bring data in from common predecessors and how to get it back out — written for the switcher, not the buyer.
- →From manual fax-and-phone intake: run the free 15-minute assessment to map your current process, then let Annie take over referral extraction while staff keep handling in-office check-in.
- →From a standalone eligibility tool: route verification through the CRM & Patient Management pipeline so eligibility, authorization and coverage monitoring share one patient record.
- →From a prior-auth point tool: move auto-submission and status tracking into the Prior Authorization & Referrals module so escalation and denial prevention analytics sit next to the auth record.
- ↗To a full RCM suite: export the verified patient and authorization records your billing platform needs and keep the outcome-based fee structure in mind when comparing total cost.
- ↗To a general-purpose scheduling or CRM platform: you lose payer-specific auth logic and continuous coverage monitoring, so expect to rebuild manual re-verification.
- ↗To in-house front-desk processes: document the intake checklist and payer follow-up cadence Annie was running before you cut over, or the workflow disappears with the subscription.
Integrations
Resources & Guides
Tutorials & Learning
SOLUM HEALTHCARE: Solutions for Healing | SOLUM ESL
SOLUM
Introducing BioTWS (SOLUM Healthcare)
SOLUM Healthcare Inc.
Solum Healthcare Bio Data Tracking Earbuds EARX | Official Application Video
SOLUM Healthcare Inc.
YouTube returned 6 videos for “Solum Health”, and we withheld 2: 2 did not mention Solum Health. Showing the 4 we can prove are about Solum Health.
Official links
Featured Head-to-Head Comparisons
Solum Health vs Presto Voice
Presto Voice and Solum Health serve vastly different verticals — drive-thru QSR vs. healthcare front office. Presto is ideal for multi-location QSR chains wanting higher revenue per order through voice AI upselling, while Solum targets therapy and specialty clinics drowning in manual insurance verification, prior auths, and referrals. Neither is a substitute for the other; choose based on your industry.
Solum Health vs Isomorphic Labs
If you run a therapy or healthcare practice drowning in manual intake, prior auths, and insurance verification, Solum Health's Annie is an autonomous, practice-built solution that directly attacks the $200B admin problem. Isomorphic Labs, on the other hand, is a cutting-edge AI drug discovery partner for pharma giants — not a tool you can buy off the shelf. Choose Solum for operational AI that pays for itself in denied claims saved; choose Isomorphic if you're a large pharma looking to accelerate molecule design via deep collaboration.
Solum Health vs Codametrix
Choose CodaMetrix if you're a large health system aiming to cut coding costs and denials at scale with proven ROI and deep EHR integration. Choose Solum Health if you run a therapy or specialty clinic drowning in manual intake, eligibility checks, and prior authorizations. They're complementary: CodaMetrix covers the back-end, Solum covers the front-office.
Popular in Healthcare Revenue Cycle
CodaMetrix
Autonomous medical coding for large health systems that codes and bills eligible cases touchlessly.
Frequently Asked Questions
Categories
Best-of guides
Topics
Used Solum Health? Help shape our editorial sentiment research.