Reduce claim denials by 60%, automate appeal letters, and recover millions in lost revenue. Purpose-built for 50-200 physician groups, specialty clinics, and ASCs.
60%
Denial Rate Reduction
85%+
Appeal Success Rate
3x
Coding Speed Increase
$2.4M+
Revenue Recovered
One unified platform replacing fragmented point solutions. Every AI decision has a transparent reasoning chain and full audit trail.
Hybrid NER + LLM pipeline suggests CPT and ICD-10 codes with evidence-based confidence scores. Reduces coding time from 30 minutes to under 10.
XGBoost denial prediction with SHAP explainability identifies at-risk claims before submission. Root cause analysis and recovery scoring prioritize your worklist.
AI generates payer-specific appeal letters with clinical evidence citations, LCD/NCD references, and regulatory backing. PDF-ready in seconds.
Aggregated payer scorecards, rule matching via pgvector RAG, and network-wide insights from anonymized data create a compounding intelligence moat.
Standalone CDI module identifies documentation gaps, suggests specificity improvements, and validates medical necessity before claim submission.
Multi-tenant isolation with RLS, PHI encryption at rest and in transit, audit logging on every access, and zero-retention AI APIs.
Live integrations with healthcare data standards and payer networks