An employee that works every denial and rebills what's recoverable
It reads the denial on each remittance, maps the denial code to the fix, corrects and resubmits the recoverable claims, and assembles the appeal packet for the rest - so denied revenue gets worked, not written off.
The actual employee, working in your Slack.
Denials worked. Revenue recovered.
How it works
Reads the denial
Works through the remittances and electronic remits, reads each denial code, and figures out why the claim denied and whether it's recoverable.
Corrects & resubmits
Maps the denial code to the fix - a missing modifier, an eligibility error, a coding issue - repairs the claim, and resubmits it clean.
Appeals & escalates
For denials that need to be argued, it assembles the appeal packet with the supporting records and routes it to staff to review and sign off.
From denial to resubmitted, end to end
It reads the denial on the remittance, maps the code to the correct fix, repairs the claim, and resubmits it clean - or assembles the appeal packet when the claim needs to be argued.
Works in the tools you already use
Frequently asked
Collections is about calling on overdue balances. This is claim-level payer rework: it reads payer denial codes on the remittance, corrects and resubmits the claims that can be fixed, and assembles appeals for the rest. Different work, different system - the denial queue inside your clearinghouse, not the phone.
Your first AI employeeis one call away
Book a demo and we'll walk you through the product end-to-end.