Healthcare Revenue Integrity

Recover revenue from
complex clinical denials.

Specialized claim auditing for Practices, Hospitals, Community Clinics, Urgent Care Providers, and Surgical Centers. We optimize documentation and reverse payer denials with surgical precision.

AI Neural Network Background

Proprietary Infrastructure

AI Swarm Intelligence.
Statistically defensible logic.

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.

Orchestrated Tech Stack

Middle-layer orchestration leverages the world's most powerful neural networks to analyze documentation with institutional precision.

Defensible Outcomes

Every conclusion—whether an upcode or appeal—is backed by defensible logic derived from millions of data points.

Our Services

Stop leaving money on the table due to billing nuances.

Retroactive Denial Recovery

We audit past denials (up to 2 years) to identify recoverable revenue based on clinical necessity argumentation and coding technicalities.

Documentation Optimization

Pre-bill auditing to ensure your clinical documentation supports the highest compliant coding level, reducing future denial rates.

Industry Reality
19%
Average In-Network Denial Rate
$10.6 Billion
Wasted Annually on Recoverable Claims
Provider Appeal Success 54.3%

Most denials are reversible with proper documentation.

The Workflow

How Denial180 flips your denial.

Our AI-powered process turns complex clinical denials into approvals—fast and streamlined.

1. Upload Docs

Securely submit denial letters, EOBs, and medical records via our encrypted portal.

2. AI Analysis

We scan for denial codes & score reversal odds. >70% viability triggers the green light.

3. Activation

Unlock the full appeal workup with a secure flat-fee payment. Risk-free assessment.

4. Get Appeal

Download your carrier-ready appeal dossier directly from the dashboard.

5. Flip Denial

Submit and track your revenue recovery. Reclaim what is rightfully yours.

Certified Authenticity Seal

Pricing Architecture

Predictable Revenue Recovery.

Flat monthly pricing for full denial management and revenue cycle optimization. No percentages, no surprises.

Basic

$750 /mo
  • AI-powered denial analysis & appeals
  • Basic claim scrubbing & optimization
  • Up to 500 claims/month
  • Monthly summary reports
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Most Popular

Standard

$1,500 /mo
  • Unlimited denial appeals & resubmissions
  • Advanced billing optimization & coding audits
  • Up to 2,000 claims/month
  • Denial trend analytics & prevention
  • Priority email & chat support
Choose Standard

Premium

$3,000+ /mo
  • Everything in Standard
  • Custom EHR/PM system integration
  • Unlimited claims volume
  • Dedicated account manager
  • Advanced predictive analytics
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Expected Monthly Revenue Impact

+5–15% increase in collections

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 Estimate

Common Inquiries

Institutional Compliance & Protocol.

Is this HIPAA Compliant?

Yes. 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.

Does this integrate with my EHR?

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).

Is this legally defensible?

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.