Your denied claims
are not write-offs.
Most denials are recoverable. Your team is too stretched to work every appeal. We handle what falls through the cracks — and only get paid when we recover.
No commitment. We sign an NDA and show you the dollar amount first.
security & compliance
national avg.
Payers count on you to give up.
Most facilities do.
Payers deny. Most facilities write it off. Payers count on that.
At 800 claims a month, a 17% denial rate is 136 rejections. The same codes keep returning — because nobody has time to look for root causes when they're too busy reacting.
Before your contracts are set, every out-of-network claim is a loss.
No established payer rates means you're negotiating from a position of weakness — claim by claim. Most first-year facilities don't tally the damage until it's too late.
Appeals have deadlines. Your team works them when there's time.
When billing staff are stretched, the most complex claims — the ones worth the most money — are the ones that fall off the list. The window closes. The money is gone.
Hard numbers.
Not estimates.
And it resets every time someone quits.
RCM billing staff turns over at 30–40% annually. Every time someone leaves, they take the institutional knowledge that actually drives appeal wins — which payer reps respond to what arguments, which denial codes have a paper trail. The new hire starts from zero. Denials spike.
AI tools have existed in RCM for years. They read your denials. They built dashboards. What they couldn't do was remember. The shift that happened in 2025: agents that don't reset. That run continuously, accumulate context across weeks and months, and build the same operational picture a 10-year RCM veteran carries in their head. Except they don't quit.
If we don't recover,
you don't pay.
No monthly fees, no seat licenses. We work on contingency — our incentive is aligned with yours. We get paid a percentage of what we actually collect.
Book a free assessmentNo commitment. We show you the number first.
Seen in the field.
Real claims. Real numbers.
What's driving denial rates
in 2026.
The Linear Workflow Assumption That's Breaking RCM Revenue
Revenue doesn't fail at one step — it breaks across all of them.
Teams Don't Struggle with Filing Appeals. They Struggle with the System Around Them.
Nearly 60% of denied claims are never appealed. Not because teams lack the skills.
Age Is Not Value. That Confusion Is Costing You Millions.
Your team is working the wrong claims first — not because they're making mistakes.
Driven by database and AI engineers, advised by clinical leaders.
We build autonomous context-aware agents that recover lost healthcare revenue on pure contingency, helping Ortho ASCs capture every dollar they deserve.
— Recovering millions in denied revenue for Orthopedic ASCs.
— Recovering millions in denied revenue for Orthopedic ASCs.
Our context engines build a continuous database of operational memory, executing audits and appeals that typical billing software ignores.
We show you the number.
Then you decide.
No sales deck. No demos of features you haven't asked for. Just an honest look at what's recoverable in your current claims data.
Send us a sample of recent denied claims.
30–90 days of denial data is enough. We sign an NDA before you send anything.
We run the analysis.
Within a few days we show you which categories are leaking, how much is recoverable, and where the patterns are.
You see the number.
Hard dollar estimates, not percentages. Then you decide if you want to work together.
You'll speak with someone who has worked real RCM workflows. Not a sales rep.