AI-based denial management platform helps healthcare organizations speed up reimbursement processes, resolve claim denials, and prevent revenue leakages. Integrates with systems like Clearwave, athenahealth, AdvancedMD, and eClinicalWorks. Provides analytics, dashboards, and visualization tools to manage and optimize denial workflows.
Features
Automated Denial Management
Uses AI to automatically prioritize denials based on deadline dates, missing documents, and LMRP issues, helping to effectively manage denial workflows.
Dashboard Feature Overview
Provides a comprehensive dashboard to visualize claim statuses, denial reasons, and revenue recovery metrics, ensuring clarity in denial management processes.
Visual Claim Denial Clarity
Gives clear visual representation of denial data, allowing users to see lost revenue and identifying problem areas that require intervention for more effective revenue management.
AI-Powered Review
Automatically evaluates denied claims and applies machine learning algorithms to identify root causes for denials, enhancing operational efficiency.
Data-Driven Insights
Provides actionable insights through real-time analytics to improve denial management processes and reduce revenue losses.
Automated Follow-Ups
Schedules and sends follow-up communications with insurance companies to resolve claim denials, reducing manual work and accelerating cash flow.
Compliance and Security
Ensures data security through compliance with industry standards like SOC 2 and ISO certifications, providing trust and reliability in sensitive data handling.
Appeal Automation
Automates the process of creating and submitting appeals for denied claims, helping to reduce manual workload and improve efficiency in recovering lost revenue.
Audit Control
Provides comprehensive audit controls to monitor billing processes and ensure compliance with healthcare industry standards.
RPA in Denial Management
Utilizes Robotic Process Automation (RPA) to streamline processes related to denial management, reducing errors and enhancing efficiency.
Detailed Denial Management Watch
Offers in-depth tracking and monitoring of denied claims using advanced analytical tools to identify trends and root causes.
Denial Prevention Tools
Includes tools designed to prevent claim denials before they occur by analyzing historical denial data and adjusting billing processes accordingly.
Denial Software
A cloud-based management system providing proactive and predictive data analysis to identify, isolate, quantify, and categorize denials while offering solutions to lower denial rates and spot revenue leakage sources.
Compliance
Offer compliance services ensuring SOC2, HIPAA, and VAPT standards across global locations with facilities that support around-the-clock denial management.
TeamBillingBridge
A data management tool for revenue cycle professionals that integrates all billing data into one system for detailed reports and financial metrics.
Workforce Management
A tool to automate tracking and reporting of denials work, enhancing productivity by sending detailed denial reports to teams and reducing manual processing time.