Rising Medical Solutions Launches Ask Leah, an AI Agent That Goes Beyond Claim Summarization

In September 2026, Rising Medical Solutions, a national managed care firm, announced the launch of Ask Leah, which is now available within the VISION customer platform as the company's first generative AI agent and the latest advancement in its broader portfolio of AI-enabled claims solutions.

Modern claims are shaped by thousands of data points, activities, and interactions. Ask Leah brings that information together into a single claim review and decision-support experience. Instead of piecing together a claim's story across disparate documents, systems, and vendors, claims professionals can quickly understand what is it that is driving the claim. Unlike traditional summaries that simply condense information, Ask Leah organizes and interprets medical, financial, and claim data to help users evaluate claim progression and development, identify risk, and establish various priorities.

Ask Leah has expanded Rising's AI capabilities within VISION through the introduction of agentic AI, thus creating a new way for claims professionals to engage more deeply with complex claim information. As an evolving claim review and decision-support experience, future enhancements will expand Leah's ability to provide guided claim support and conversational assistance, further enabling users to ask questions, pressure-test scenarios, explore alternative outcomes, and apply their expertise in increasingly interactive ways.

Ask Leah was designed using the same data protection standards that govern the rest of VISION. All protected health information (PHI) processed by the solution remains within a secure, isolated, and controlled environment and is never used to train, fine-tune, or improve external AI models. The capability operates under the same rigorous security framework and independently audited controls that support Rising's HITRUST certification, ensuring clients can benefit from AI-powered insights while maintaining the privacy, security, and integrity of their sensitive claims data.

Impact on the Healthcare Market

The Ask Leah experience is built to answer more than "What happened?" It is designed around the questions that drive day-to-day claim decisions: How have things changed? Where are the risks? What needs attention now? What should happen next? Key capabilities include:

• Severity and risk indicators: surface chronicity concerns, pain management risk, comorbidity complexity, surgery likelihood, psychosocial barriers, litigation exposure, and return-to-work probability, all scored and explained in plain language
• Compensability assessment: highlights factors that warrant further review of compensability determinations, including newly identified body parts or diagnoses requiring adjuster evaluation
• Exposure and reserve intelligence: compares reserves on file against predictive benchmarks and identifies potential exposure drivers that warrant additional review
• Return-to-work optimization: presents functional restrictions, employer accommodation status, and vocational risk, paired with possible adjuster actions
• Vendor coordination: provides a real-time view of vendor involvement and claim activity, helping users coordinate care management, ancillary services, legal resources, and other claim stakeholders
• Immediate action panel: generates a due-dated list of issues and recommended next steps, helping claims professionals prioritize their attention where it can have the greatest impact.

Impact on the Artificial Intelligence in Healthcare Market

The global artificial intelligence (AI) in healthcare market size is valued at USD 36.96 billion in 2025 and is predicted to increase from USD 51.20 billion in 2026 to approximately USD 744.34 billion by 2035, expanding at a CAGR of 35.02% from 2026 to 2035.

According to Precedence Research, the vast exposure to tech development due to the increasing patient admissions in clinical and hospital settings contributes to the healthcare future. Wearable medical devices act as a main driver of responsible data evaluation for promising patient outcomes.

The growing adoption of digital technologies in the healthcare sector, owing to the growing need to reduce healthcare costs and offer enhanced quality patient care services to patients, is another prominent factor that is helping to boost the growth of the global artificial intelligence in healthcare market. The surging prevalence of various chronic diseases and a growing elderly population is resulting in an increased pool of patients at hospitals.

The large volume of patient health data is generated every day, which is required to be stored and managed effectively. The growing demand for personalized medicines and the necessity of maintaining digital health records are significantly driving the artificial intelligence in healthcare market. 

Impact on the AI In Healthcare Governance and Safety Market

The global AI in healthcare governance and safety market size accounted for USD 2.40 billion in 2025 and is predicted to increase from USD 2.96 billion in 2026 to approximately USD 19.65 billion by 2035, expanding at a CAGR of 23.40% from 2026 to 2035.

According to Precedence Research, the market growth is attributed to the increasing adoption of AI-powered governance platforms for improving patient safety, operational transparency, and real-time healthcare risk management. Healthcare providers increasingly adopt governance platforms, explainable AI tools, and compliance monitoring systems across clinical environments. These technologies support hospitals' monitoring of algorithm behavior, identification of bias, patient data security, and regulatory compliance.

Increasing global regulatory scrutiny surrounding AI-enabled healthcare software is also expected to further accelerate demand for AI-based healthcare governance and safety technologies. Companies all over the world are increasingly moving towards AI compliance and investing in those that have continuous compliance management, automated reporting, and risk classification. Furthermore, the growing integration of generative AI into clinical documentation and administrative automation is anticipated to strengthen demand for advanced governance infrastructure throughout healthcare ecosystems.

Expert Opinion

"Claims professionals are drowning in data but starved for insight," said Jason Beans, CEO of Rising Medical Solutions. "Ask Leah doesn't just summarize a claim; it helps users understand what to do next. It flags the reserve that doesn't match reality, the new diagnosis that hasn't been formally accepted, the return-to-work plan that's gone stale. That's the difference between information and action."