For providers & health systems
Dispute defensibly.
The denial already told you what the claim needs. We read the 835, assemble the case — corrected claim, appeal, COB, records request — and hand your team a finished packet to approve. Higher overturn. Lower cost-to-collect.
The realization
The 835 tells us exactly what each claim needs to get paid.
Resubmittable, appealable, records-away, COB-routing, timely-filing — each denial reason routes to a different recovery path. We sort the whole book, then build the packet for each path automatically.
Act 01 — The read
The 835 already told us what every claim needs.
01 Recovery, collapsed
The bottleneck was never detection. It was the labor to recover.
At a 46-hospital health system, the model trained on roughly 20 million claims and surfaced tens of millions in disputable charges. The hard part wasn't finding them — it was the eight-to-sixteen hours of analyst work per case. We took that to about five minutes.
Same button, two outputs — a finished, citable packet
- Resubmit — corrected claim, info attachedready
- Appeal — letter + evidence, retro-authdrafted
- COB chase — other-payer routingrouted
Act 02 — The work
Packets that survive the payer’s second look.
02 Why it holds up
9 photos, not 50,000
Pattern propagation
Review a representative sample of a claim cluster; the determination propagates to every similar claim at >0.95 proof purity. High-dollar claims always get individual review. One decision actions thousands.
Glass-box
Every packet is cited
Each recovery action carries the denial code it answers, the documentation it attaches, and the policy it invokes — so it survives the payer's second look.
Payer 360
Knows each payer
Timely-filing windows, appeal ladders, routing quirks, denial behavior — versioned by date of service and cited to source — so the packet is built the way that payer wants it.
Act 03 — The proof
Numbers from a 46-hospital book.
Act 04 — The terms
How we engage — risk shared.
04 The terms
We get paid
when you do.
No seats. No shelfware. No report that dies in a drawer. Results as a service — the agents do the work, your people approve it, and the risk is shared.
01 · two weeks · fixed
The Read
Bring 837s + 835s. We return the recoverable pool by path — resubmit, appeal, COB, timely-filing — with provenance.
02 · contingency
Recover
The agents build, your team approves and files. We fund the work and get paid on dollars that return. No recovery, no fee.
03 · per-claim
Prevent
Deny-proof claims before they leave the building — the same genome, pointed upstream.
no seats · no backlog · finished work, signed by your team
Show me 90 days
A recovery diagnostic on your denied book.
Bring your 837/835 data. We'll show you the recoverable pool by path — resubmit, appeal, COB, timely-filing — every dollar with its provenance.