Articles

Transform Your Claims Denial Challenges with AI

Our solution, “Daniel,” is revolutionizing the landscape of medical billing and provider services. With advanced proprietary AI algorithms, we enable advanced denial resolution with real time remediation and automatic resubmission. This promotes timely revenue recognition, enhances opportunities for better payer reimbursement, and enhanced income streams, while identifying population health opportunities and care gaps.

Denials Management - A Three-Tiered Approach

In healthcare, denials can significantly impact a provider's revenue cycle. Effective denials management requires a comprehensive approach that addresses denials at various stages. While often seen as a normal cost of doing business, denials can have a significant impact, both on a provider's revenue cycle and patient care.

An Introduction to Red Sky Health and Solving for Insurance Claims Denials

In a recent interview, our COO Jai Pillai spoke with Doug Kimball, Head of Marketing for Red Sky Health to brie y discuss some of the challenges faced in the health insurance industry and how Red Sky is using machine learning to address those needs.

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