How much does Smarter Technologies cost?

No public pricing; modular enterprise engagements combining platform and managed delivery.

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Smarter Technologies

Q: Who is Smarter Technologies for?

hospitals, health systems, provider organizations

Also known as: SmarterDx, Thoughtful.ai, Thoughtful AI, Access Healthcare, Nebula, Overwatch, Spotlight

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Healthcare agentindependentVerified 2026-07-22

New Mountain rollup of SmarterDx, Thoughtful.ai, and Access Healthcare: Nebula agents automate up to 70 percent of RCM tasks, Spotlight clinical AI (2,200+ algorithms) surfaces revenue, and Overwatch provides human-in-the-loop delivery at scale.

Smarter Technologies is the New Mountain Capital rollup (May 2025) combining SmarterDx, Thoughtful.ai, and Access Healthcare into an AI powered revenue management platform with three pillars: Nebula trains and deploys virtual AI agents that automate up to 70 percent of revenue cycle tasks while adjusting on the fly to unexpected payer responses; Overwatch is the global human workforce platform with 99 percent quality guarantees for human in the loop delivery; and Spotlight delivers AI driven clinical insights for pre bill revenue and claims adjudication. SmarterDx contributes proprietary clinical AI with 2,200+ custom algorithms and a clinical ontology, reporting an average $2M in net new annual revenue per 10,000 discharges at day one 5:1 ROI across 40+ health systems and 180 hospital sites; Thoughtful.ai contributes agentic RCM automation that learns from each interaction. The combined company serves 200+ clients including 60+ hospitals and health systems and 500,000+ providers. Indexed once under the parent per the Agentic Index consolidation rule; Thoughtful.ai and SmarterDx resolve here.

Vendor details

Canonical URL

https://www.smartertech.com

Funding status

Formed May 2025 by New Mountain Capital through the combination of SmarterDx, Thoughtful.ai, and Access Healthcare; CEO Jeremy Delinsky (former athenahealth CTO, founding COO of Devoted Health)

Company status

independent

Use cases & customers

Primary use cases

revenue cycle task automation via virtual agentsclinical revenue integrity and pre-bill analysisAR management and appeals automationhuman-in-the-loop RCM delivery at scale

Target customers

hospitalshealth systemsprovider organizations

Deployment options

SaaS

Integrations

Modular platform explicitly designed to avoid rip and replace, layering onto health systems' existing RCM stacks; processes 400M+ transactions and manages $200B+ in combined revenue annually across 200+ clients and 500,000+ providers.

Sources & related URLs

Research sources

https://www.smartertech.com/articles/smarter-technologies-launches https://www.businesswire.com/news/home/20250518030750/en/New-Mountain-Capital-Forms-Smarter-Technologies-through-Combination-of-SmarterDx-Thoughtful.ai-and-Access-Healthcare https://www.fiercehealthcare.com/health-tech/new-mountain-capital-brings-together-3-companies-form-ai-enabled-rcm-platform https://digitalhealthwire.com/smarterdx-thoughtful-ai-and-access-healthcare-form-smarter-technologies/

Capability coverage

7.0 / 14 capabilities · 50%

Integrations & Tool CallingModular no rip and replace design layering onto existing RCM systems at 400M+ transaction scale, though connector specifics are not documented, Smarter Technologies materials 2026-07-22	Partial
Workflow OrchestrationNebula agents automate the resolution of up to 70 percent of revenue cycle tasks while adjusting on the fly to unexpected payer responses, with the platform spanning entire administrative and financial workflows, Smarter Technologies coverage 2026-07-22	Full
Knowledge Grounding & RAGA named clinical ontology plus SmarterDx's 2,200+ custom clinical algorithms transform clinical data into fully attributable insights, Smarter Technologies materials 2026-07-22	Full
Human Oversight & GuardrailsHuman in the loop AI agents are a stated platform pillar, with the Overwatch workforce platform providing scaled human delivery at 99 percent quality guarantees alongside agents, Smarter Technologies materials 2026-07-22	Full
Security, Identity & GovernanceNo security attestations or governance program documentation in retrieved materials, Smarter Technologies materials 2026-07-22	Unable to verify
Observability & AuditabilitySmarterDx insights are fully attributable and Spotlight provides AI driven visibility across the revenue cycle, short of a per action audit console, Smarter Technologies materials 2026-07-22	Partial
Memory & State PersistenceThoughtful.ai's AI adapts and learns from each interaction and Nebula agents adjust on the fly, a documented learning loop short of first class runtime memory, Smarter Technologies materials 2026-07-22	Partial
Deployment & Data ResidencySaaS platform with global delivery operations; no self host or residency options documented, Smarter Technologies materials 2026-07-22	Partial
Prebuilt Agents, Templates & PacksNebula trains and deploys virtual AI agents as a product pillar alongside Spotlight and Overwatch, with Thoughtful.ai's agent portfolio covering all key RCM functions, Smarter Technologies coverage 2026-07-22	Full
Triggers & Channel CoverageAgents run against transaction and claim flow at scale; no trigger or channel machinery documented, Smarter Technologies materials 2026-07-22	Partial
Model Flexibility & RoutingProprietary agents combining NLP, OCR, and ML with 2,200+ custom algorithms documented, without customer model choice, Smarter Technologies materials 2026-07-22	Partial
APIs, SDKs & MCP ExtensibilityNo customer facing API, SDK, or extensibility surface documented, Smarter Technologies materials 2026-07-22	Unable to verify
Testing, Debugging & OptimizationQuality guarantees are delivery SLAs rather than customer facing testing or evaluation tooling; none documented, Smarter Technologies materials 2026-07-22	Unable to verify
Browser & Computer UseAgent operation against payer responses is documented at the outcome level without evidence of browser or interface control, Smarter Technologies materials 2026-07-22	Unable to verify

Pricing

Contact sales

Contact onlyHigh variable cost

What is public

No pricing is published. Public materials anchor value in reported outcomes: $2M net new annual revenue per 10,000 discharges and day one 5:1 ROI for the clinical AI offering.

Variable cost rationale

Combined platform plus managed services engagements scale with transaction volume and delivery scope across three product pillars; no public basis.

Sales call required

Yes — required for paid access

Free / trial

None public

Verified 2026-07-22

Data confidence: high