Payers use automation to deny thousands of claims instantly — while most provider teams still work appeals one at a time, by hand. We build AI agents that read the denial rationale against payer policy and prepare appeals at scale. Recovered revenue is measurable per claim.
The payer's "no" is instant, machine-generated and at scale. The provider's appeal is still assembled by hand, one claim at a time — excellent work, human-paced, against a machine-paced denial engine. Every appeal your team doesn't get to is revenue written off, and it compounds with missed follow-ups and filing deadlines.
The fix isn't more billers. Our agents take the mechanical 70% of denial work off your team — code reading, triage by recoverable value, deadline tracking, first-draft assembly — while the clinical appeal decision stays with your people. The team you already have works the dollars that matter, at machine pace.
Every denial scored by recoverable value × winnability the moment the 835/ERA lands — worked by what it's worth, not by what clears easiest.
Clinical docs pulled and matched to the payer policy in force, the appeal drafted for review — hours of skilled hunting per appeal, done by the agent.
A deterministic clock runs every filing window and escalates before anything ages out — the most expensive leak is the most mechanical, and it goes to zero.
Once denials run at machine pace: eligibility checks and charge-capture review on the same pipeline, closing leaks before they become denials.
Patient helplines with clean human hand-off, document AI over regulatory and clinical records, pharmacovigilance triage, disease and supply anomaly detection — built to the same clinical-safety and audit bar.
Patient helpline and MI assistant.
Use case: Discharge follow-up C02Regulatory and clinical document AI.
Use case: Clinical extraction C03PV triage and audit automation.
Use case: PV signal triage C04Disease and supply analytics.
Use case: Supply forecastDiscovery to scale, engineered for production from day one.
See how we deliver →A short, no-pitch teardown: the five places revenue leaks before an appeal is even filed, and which of them AI actually closes. Then, if it's worth a conversation, a 20-minute look at your denial flow.
