For health systems, surgery centers & physician groups
Get paid for the care you already delivered.
Most denials are never worked. We work every one. CuraClaims reads every claim against your contracts and the payer's own rules, builds the finished package in minutes, and follows it until it's paid. Your team approves every filing.
No new systemStarts from your 835/837 filesPaid on what we recoverYou approve every filing
The realization
The 835 already tells you what each claim needs to get paid.
Resubmit, appeal, records, coordination of benefits, timely filing: each denial reason routes to a different path. We sort the whole book, then build the package for each path automatically.
Up to 65%※industry estimates of denied claims never reworked
of denied claims are never worked. Too few hands, so they pass their deadlines and are written off.
We work every one.
Act 02 — What we do
Three things, done well, for your revenue cycle team.
02 What you know, and what you don't
More claims worked, more dollars recovered, with the team you have.
A
What you know you have to do
Work every denial, faster
The handful of denial codes your team works every day: prior authorization, medical necessity, requests for information. A finished appeal in minutes, not hours.
Same team, far more reach
B
What you know you're missing
Recover underpayments
Claims paid, but paid short of the contract, checked line by line on every payment. Plus the other gaps: implant carve-outs missed, deadlines that pass quietly.
Short payments found and collected
C
What you don't know to look for
See how payers really behave
Patterns invisible one claim at a time, like a payer that changes its denial reason every time you answer the last one.
The whack-a-mole, made visible
Act 03 — Use cases
Four claims your team sees every week.
03 What the payer said, what we found, what we filed
The denial already told us what the claim needs.
Each example below is a composite of claim types we work every day. All identifiers and amounts are placeholders; no patient or client data appears on this site.
Denial · medical necessityExample
Spine surgery denied as "not medically necessary"
Claim EX-xxxx · Cervical fusion, one level · Billed $xx,xxx
What the payer saidCO-50: not medically necessary, every line.
What we foundEvery criterion in the payer's own medical policy met, each matched to a dated quote from the chart. Prior authorization on file for the same codes.
What we filedThe appeal on the payer's own form, with a criteria crosswalk and chart exhibits attached, plus the appeal clock set.
Package ready in minutesyour team approves · we follow up
Underpayment · implantsExample
Paid, but implants bundled away
Claim EX-xxxx · Shoulder arthroscopy with anchors · Short $x,xxx
What the payer saidPaid, but the implant lines were folded into the procedure rate.
What we foundYour contract carves implants out at invoice cost. Every line repriced against the fee schedule; the invoice matched to the implants used.
What we filedA payment dispute citing the contract section, with the invoice attached and state prompt-pay interest calculated.
Balance plus interest requestedcontract · invoice · statute cited
Give them every contract, every payer policy and every claim you've processed. Have them work every denial and short payment, in minutes, for your whole team.
What it reads
Every contractFee schedules · carve-outs · implant terms
Every payer policy and ruleMedical policies · coding edits · state law
Every claim you've processed837 · 835 · op notes · billing history
CuraClaims
Claims Genomics Modelevery claim profiled: care and contract
Self-review sealevery citation checked before it ships
What it delivers
A filing-ready packageLetter · exhibits · every line cited
Under 5 minutesFrom denial to a package ready for review
Follow-throughPayer clocks tracked until paid or closed
We built the attorney. You keep the signature. Nothing is filed without your approval.
Outsourced appeal vendors
A sample of claims, a share of what they find, months later.
Billing software & dashboards
Flags the problem. Your team still does the work.
CuraClaims
Every claim, a finished package in minutes, approved by you.
* A figure of speech. CuraPatient is not a law firm, CuraClaims is not an attorney, and nothing it produces is legal advice or legal representation. Appeals and disputes are reviewed, approved and filed by your team under your name. For legal questions about a contract, a dispute or your rights, consult your own counsel.
06 Live at a 46-hospital health system
Less effort per claim. More of the book disputed.
Their own team took the work in-house. The agents do the reading, research and paperwork; their people approve and file. The same engine runs on the payer side of the claim, which is why our packages hold up on the payer's second look.
8–16hrs → 5 min
Recovery effort per case
46-hospital system
72%
Appeal success rate
vs. 38% industry avg.
98%+
Coding accuracy at maturity
12-month deployment
100%
Filings approved by a person
nothing auto-files
Act 07 — Getting started
Live in two weeks. Your number in 30 days.
07 What it's like to work with us
We start with the data you already have.
What happens
Wk 1
Wk 2
Wk 3
Wk 4
Wk 5
Wk 6
Month 2+
Your time
Sign the BAA, get our security packetYour team and ours
Week 1
30 min
Export 12–24 months of claims835/837 files · we handle the mapping
Your team
1 hr
Read every claim against your contractsDenials, underpayments, out-of-network
CuraClaims
None
Readout: your recoverable dollarsBy path, with every dollar's source
Day 30
1 hr
File the first packagesYou approve each one
You approve, we file
Minutes a claim
Track payer answers and follow upUntil paid or closed
Ongoing →
None
CuraClaims does itYour teamReadout
About 3 hoursof your team's time to the first result
No new systemno integration, no change to how you work
Paid on what we recovernothing up front
You approve every filingnothing goes out without you
08 The terms
We get paid when you do.
No seats. No shelfware. No report that dies in a drawer. The agents do the work, your people approve it, and the risk is shared.
01 · no cost
The Read
12–24 months of your claims, read against your contracts. Your recoverable dollars by path, every one with its source.
02 · on results
Recover
The agents build, your team approves, we file and follow up. Paid on dollars that come back. No recovery, no fee.
03 · per claim
Prevent
The same engine pointed upstream, so claims leave the building ready to be paid the first time.
09 Questions revenue cycle leaders ask
Do we need an integration to start?
No. We start from the 835 and 837 files your clearinghouse already produces, so there is no integration to begin. As you scale, we connect to the systems you already use: clearinghouse feeds, your EHR and billing system, and payer portals.
Does anything get filed without our approval?
No. CuraClaims builds the package; your team approves every filing. We then track each payer's clock and follow up until the claim is paid or closed.
Which payers do you cover?
Appeal and dispute forms for more than 40 major payers, national and regional, plus corrected claims on UB-04 and CMS-1500 wherever a resubmission beats an appeal.
Does this replace our team or our vendors?
It gives your team far more reach. Your people keep the signature and the payer relationships; the agents do the reading, the research and the paperwork. It can also bring work back in-house from outside appeal vendors.
Is CuraClaims a law firm?
No. "Claims attorney" is a figure of speech for how thoroughly the engine works a claim. CuraPatient does not provide legal advice or legal representation. Your team reviews, approves and files every appeal and dispute under your name. For legal questions, consult your own counsel.
What does it cost?
The first Read of your claims costs nothing. After that, recovery is paid on what we recover, with nothing up front.
Get your book read
Your recoverable dollars, by path, in 30 days.
Send 12–24 months of 835 and 837 files. We'll show you what's recoverable, why, and the fastest path to paid for each claim, at no cost.
