Got Claims Denials?

We Fix Them in Real Time!

We identify denied insurance claims issues, implement real time fixes, and resubmit them so you can get paid faster. AI driven, patient focused.

Our proprietary ML algorithms and GenAI models process and correct denials in real time - speeding revenue recovery and freeing billing personnel to get more done in less time.

Claim Submissions and Insurance Remittances are processed by ML algorithms and GenAI
real time corrections are made to claims and remittances

Providers - Are Insurance Claims Denials a Challenge?
Meet Daniel - Our Human-Augmented AI platform

machine learning (ML)

Daniel uses a large paid & denied claims dataset along with remittance information as the base for its AI models

large paid & denied claims dataset

Daniel uses this dataset for training its models and testing for better accuracy to remediate future denials

training our algorithms and testing for better accuracy

Daniel uses ML and LLMs to programmatically remediate and re-submit denials in real-time

Customer Testimonials

  • “We’ve been using Red Sky Health’s solution for about 6 months. And while in the early stages of operations, we’ve already seen a big improvement. 

    Using the system, we’ve been able to streamline how claims are processed, getting more accurate submissions and responses, saving significant employee hours.   And using Red Sky has made a huge difference in our claim outcomes.”

    Monica Kent

    American Medical Billing, West Virginia

  • “We've been using Red Sky Health system for about 6 months now. It has helped us to streamline how claims are processed, getting more accurate submissions and responses.

    The system is easy to use and it's allowing us to focus more on patient care and less time is wasted on administrative work.”

    Wendy

    BillPro

  • “As one of the largest primary care practices in our area, we submit a large amount of medical claims to insurance companies daily.  Since using Red Sky Health, we have been able to significantly improve our claims processing and resubmission, which in turn has resulted in a 40 % increase in our overall revenue.

    The accuracy of the claim submission and the responses that we receive back from the system have saved a significant amount of personal hours that we would have used on administrative work and given us more of an opportunity to focus on patient care.”

    Justine

    Delacruz Medical Associates

It’s time for AI to be applied to the health insurance denial resubmission process. Let’s talk!

Companies powered by Red Sky Health