Specialized claim auditing for Practices, Hospitals, Community Clinics, Urgent Care Providers, and Surgical Centers. We optimize documentation and reverse payer denials with surgical precision.
We leverage a HIPAA-compliant, multi-modular orchestration of frontier models to dissect patient data with incomprehensible processing power. Like a specialized medical team, our "AI Swarm" assigns tasks to neural networks best suited for each billing nuance—from upcoding eligibility to denial reversal.
Context-Congruent Optimization: Our engine optimizes every billing entry based on patient pathology and presentation. We identify the nuances that generic systems miss, ensuring maximal billing potential without altering foundational claim integrity.
Middle-layer orchestration leverages the world's most powerful neural networks to analyze documentation with institutional precision.
Every conclusion—whether an upcode or appeal—is backed by defensible logic derived from millions of data points.
We audit past denials (up to 2 years) to identify recoverable revenue based on clinical necessity argumentation and coding technicalities.
Pre-bill auditing to ensure your clinical documentation supports the highest compliant coding level, reducing future denial rates.
Most denials are reversible with proper documentation.
Our AI-powered process turns complex clinical denials into approvals—fast and streamlined.
Securely submit denial letters, EOBs, and medical records via our encrypted portal.
We scan for denial codes & score reversal odds. >70% viability triggers the green light.
Unlock the full appeal workup with a secure flat-fee payment. Risk-free assessment.
Download your carrier-ready appeal dossier directly from the dashboard.
Submit and track your revenue recovery. Reclaim what is rightfully yours.
Flat monthly pricing for full denial management and revenue cycle optimization. No percentages, no surprises.
Providers typically see 3–5× ROI on their subscription within the first 3–6 months. This translates to $10,000 to $150,000+ in recovered monthly revenue depending on practice size.
Schedule Free ROI EstimateYes. Our entire infrastructure is SOC2 Type II certified and fully HIPAA compliant. All patient data is processed via encrypted, dedicated institutional nodes with zero public model retention.
The Premium tier offers custom integration with major EHR/PM systems (Epic, Cerner, Athena, etc.). For Basic and Standard tiers, we provide a secure, drag-and-drop ingestion portal compatible with all standard export formats (PDF, CSV, ANSI 835).
Absolutely. We do not generate "AI text" for appeals. We generate technical dossiers based on specific payer policy language, CPT guidelines, and NCCI edits. Our output is designed to stand up to clinical and peer-to-peer review.