Revenue cycle

How much revenue is sitting in denied and unworked claims at your practice right now?

Healthcare Denial Review — Governed denial triage: denials entered or imported, grouped by category and aging, reviewed and published as a client report.

▶ 2:03 narrated demoCaptions built inSynthetic data
The problem today

Why teams in revenue cycle need this

01

Denials pile up faster than the team can work them.

02

Every payer has different rules and deadlines.

03

Leaders cannot see which issues cost the most.

Immediate business value

What changes on day one

RESULT 01

Work the denial backlog in priority order

RESULT 02

Fewer missed appeal deadlines

RESULT 03

Consistent documentation for every appeal decision

Built for: Arizona health systems, physician groups, revenue-cycle and billing firms
Capabilities

What your team gets

How it works, end to end

A walkthrough of the daily flow

  1. Analyst

    Denial intake

    Sign in as analyst and enter a denial or import the denial CSV.

  2. Analyst

    Grouping

    Check the grouping by category and aging.

  3. Analyst

    Appeal deadline

    Read the appeal-deadline flag; it always needs human review.

  4. Analyst

    Submit for review

    Submit for independent review.

  5. Reviewer

    Reviewer

    As reviewer, confirm or correct; corrections create a new version.

  6. Publisher

    Publish

    As publisher, approve and publish.

  7. Client

    Client view

    As client, refresh and open the report and PDF.

Safeguards

People stay in charge

Every result is reviewed and approved by a person before release. Every change is versioned and every action is on the audit trail.

BOUNDARIES

Clinical conclusions and recoverable revenue are never assessed.

Nothing submits an appeal or contacts a payer or provider.

Designed with HIPAA safeguards in mind; pilots use synthetic or de-identified data only. A BAA and security review are required before any PHI is processed.

Go deeper

Everything you need to evaluate and run it

PricingPilot pricing on request
StatusLive pilot