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Fathom

Also known as: Fathom Health

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Healthcare agentindependentVerified 2026-07-22

Autonomous medical coding platform with KLAS validated 90%+ automation rates, HITRUST i1 certification, and a CVS Health Ventures strategic investment, spanning facility, professional fee, coding review, and risk adjustment workflows.

Fathom is an autonomous medical coding platform founded in 2017 that fuses deep learning and NLP to code patient encounters touchlessly across facility and professional fee workflows, claiming the highest automation rates and broadest specialty coverage in the category. Its product suite spans autonomous coding, E/M capture and provider assignment, coding review that audits human coder output and flags problematic coding, and retrospective risk adjustment coding capturing HCCs at scale. A March 2026 deployment at Your Health achieved a 95.5 percent encounter level automation rate with accuracy improving from 96.3 to 98.3 percent across roughly 1 million annual visits. Fathom holds HITRUST i1 certification, scored 95.5 of 100 in KLAS Research's first autonomous coding report (Aug 2025), was ranked the number 1 solution for Reducing the Cost of Care in the 2025 KLAS Emerging Solutions Top 20, and took a strategic investment from CVS Health Ventures in May 2026 to expand with providers and health plans.

Vendor details

Canonical URL

https://fathomhealth.com

Category

Healthcare agent

Funding status

$61M+ total; $46M Series B Nov 2022 (8VC, Alkeon, Founders Fund, GV, Lightspeed, Cedars-Sinai, Tarsadia) plus CVS Health Ventures strategic investment May 2026

Company status

independent

Use cases & customers

Primary use cases

autonomous medical codingE/M capturecoding review and auditretrospective risk adjustment / HCC capture

Target customers

health systemsphysician groupshealth plans

Deployment options

SaaSGoogle Cloud Marketplace

Integrations

Available on Google Cloud Marketplace; serves facility and professional coding across health system service lines; EHR integration catalog not publicly documented.

Capability coverage

6.0 / 14 capabilities · 43%

Integrations & Tool CallingGoogle Cloud Marketplace availability and deployments across diverse care settings, but no EHR integration catalog publicly documented, Fathom materials 2026-07-22 Partial
Workflow OrchestrationTouchless autonomous coding across all service lines and places of service spanning facility and professional fee workflows, validated at 95.5 percent encounter level automation, Fathom deployment release 2026-07-22 Full
Knowledge Grounding & RAGDeep learning and NLP fusion grounded in clinical documentation; no distinctive documented knowledge architecture comparable to ontology based rivals, Fathom materials 2026-07-22 Partial
Human Oversight & GuardrailsNon automated encounters route to human coders and the review product flags problematic coding for human review, but no published confidence threshold policy governs the boundary, Fathom materials 2026-07-22 Partial
Security, Identity & GovernanceHITRUST i1 certification announced first party for data protection and privacy in autonomous medical coding, Fathom Dec 2024 release 2026-07-22 Full
Observability & AuditabilityCoding review product surfaces errors and flags problematic coding, with KLAS validated automation rates, but no per code audit trail documented, Fathom site 2026-07-22 Partial
Memory & State PersistenceNo documented persistent agent memory capability, Fathom materials 2026-07-22 Unable to verify
Deployment & Data ResidencySaaS with Google Cloud Marketplace distribution; no self host or residency options documented, Fathom materials 2026-07-22 Partial
Prebuilt Agents, Templates & PacksProduct suite across autonomous coding, E/M capture, coding review, and risk adjustment with broad specialty coverage; product modules rather than an agent library, Fathom site 2026-07-22 Partial
Triggers & Channel CoverageEncounter driven autonomous processing; trigger surface not documented as first class, Fathom materials 2026-07-22 Partial
Model Flexibility & RoutingProprietary deep learning and NLP stack; no customer facing model choice or routing, Fathom materials 2026-07-22 Unable to verify
APIs, SDKs & MCP ExtensibilityNo public developer API, SDK, or MCP surface documented, Fathom materials 2026-07-22 Unable to verify
Testing, Debugging & OptimizationCustomer facing coding review product audits coder output and flags errors, and automation rates carry third party KLAS validation, though no published threshold regime, Fathom materials 2026-07-22 Partial
Browser & Computer UseOperates on clinical documentation, not browser or computer interface control, Fathom materials 2026-07-22 Unable to verify

Pricing

Contact sales

Contact onlyHigh variable cost

What is public

No public pricing. Fathom publishes deployment outcomes (95.5% automation at 98.3% accuracy at Your Health) and KLAS validation rather than commercial terms.

Variable cost rationale

Enterprise pricing scoped to encounter volume and specialty mix; no public rates.

Sales call required

Yes — required for paid access

Free / trial

None public

Verified 2026-07-22

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