Claims Denial - A BIG Problem
26%
Increase in denials in the last 3 years
49%
Providers still review claims manually
86%
Denials are due to mistakes and errors that can be fixed and re-submitted for payment
Fix insurance claim denials with AI
How?
We use AI/ML to identify denied insurance claims issues, implement real time fixes with greater than 95% precision and programmatically resubmit them to deliver greater revenue realization.
Claim Submissions and Insurance Remittances are processed by our proprietary ML algorithms and GenAI and corrections made.
Meet Daniel
Daniel uses a large paid & denied claims dataset along with remittance information as the base for its ML algorithms
Daniel uses this dataset for training its algorithms and testing for better accuracy to remediate future denials
Daniel is our AI platform that uses machine learning (ML) to programmatically remediate and re-submit denials
It’s time for machine learning to be applied to the health insurance denial resubmission process
