Case study: How Boulder Care scaled RCM through hypergrowth with Amperos

Any VC-backed healthcare provider strives for rapid growth, but sustaining that growth means building an RCM operation that can keep up. At the same time, organizations looking to manage costs know they can't fill RCM gaps by hiring more people. They need the right technology partner to do that.

The Boulder Care RCM team was already ahead of the game on automation, but wanted to take it to the next level as they entered hypergrowth. They needed an agentic, AI-native partner that could work more claims at a lower cost, without sacrificing the quality that had made their model successful to date.

They turned to Amperos. Here's how the two teams worked together to scale team productivity, manage costs, and drive impact across their RCM team.

The challenge

Boulder Care is one of the country's leading substance use disorder telehealth providers. With an NPS twice the industry average and 93% of patients achieving their goal of reducing unwanted substance use, Boulder has built a trusted clinical model that delivers top-notch care to patients.

In turn, that led to rapid growth – to their business and their claims volume. Boulder's RCM team was already investing in technology, process improvement, and AI tooling to expand RCM team productivity without hiring more headcount. They had achieved 2x growth without adding a single biller, but realized they would need to expand their AI capabilities to keep growing RCM team productivity.

A voice-only AI tool was off the table, as calling payors is only one step out of many needed to get a claim paid. A solution that only handles that step still leaves portal work, appeals, resubmissions, and corrections for a human team to manage. At the same time, point solutions that only do one step in the process (like calling) create data silos in the process, with data stuck in systems that are not the core system of record for a provider – the practice management system.

Boulder needed something that could carry a claim all the way to resolution, not just handle the first step.

The solution

Boulder partnered with Amperos to deploy its AI outsourcing solution across first-touch denials and AR follow-up.

They chose Amperos for its combination of multi-modal capabilities, end-to-end claim resolution, and ability to fully read and write into their PM system. Amperos works claims across every channel: calling payors, navigating payor portals, pulling Explanations of Benefits (EOBs), filing appeals, and resubmitting corrected claims. Every action writes back into Boulder's PM system in real time. Nothing gets handed off mid-workflow. Every detail is ready for Boulder's team to reference and use.

By using Amperos for denials and AR follow-up, Boulder can focus its internal RCM team on the oldest and most complex claims, where their experience makes the biggest difference. That division of labor keeps cost-to-collect low on high-volume work, while making sure Boulder's most experienced billers spend their time on claims that actually require their judgment and provider-specific expertise.

Boulder was already investing in AI, and thought of RCM as a strategic lever for achieving its growth targets. Adding the Amperos solution to their AI stack ensured they could continue to accelerate growth without raising costs or building an AR backlog.

The results

– Mitzi Yue, SVP of Finance, Boulder Care

To date, Boulder has seen real value through its partnership with Amperos:

• $2.9M in outstanding AR recovered. That's cash that funds Boulder's next stage of growth rather than aging into write-offs.
• 56% reduction in cost to collect. Boulder's team is recovering more revenue without increasing what it costs to collect it.
• 5.3x total ROI. The engagement has delivered returns that speak directly to the original problem: making the economics of growth work.

As Boulder continues to grow, it has a scalable way to expand its AR and denial operations alongside its clinical footprint.

What other growing practices can learn from Boulder Care

Boulder's built one of the most efficient RCM operations in its field by treating technology and RCM as a strategic asset. Their success proves that growing practices don't have to double their RCM headcount because they doubled their footprint. Partnering with Amperos lets them grow fast, keep costs down, and keep their highly skilled team focused on the work that demands their expertise.

As Boulder Care continues to expand its clinical footprint, its RCM operation is built to scale with it. The digital workforce absorbs the volume. The internal team handles the complexity. And the cash keeps moving.

Don't let RCM capacity be a ceiling on growth. Learn how Amperos can help you recover outstanding claims five times faster, at half the cost. Book a demo today.