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๐Ÿค– AI-POWERED DENIAL RECOVERY

How the AI recovers your denied claims

No bells and whistles. Just an AI that quietly grabs the insurance money you're already owed โ€” and hands it back. Here's exactly how it works.

The problem it solves

When you bill insurance, some claims come back denied โ€” the insurer refuses to pay. Usually for boring, fixable reasons: a wrong code, a missing number, a mismatch between two forms. But 65% of denied claims are never refiled โ€” not because they're unwinnable, but because you don't have time to fight them. That money just evaporates. At a typical practice, it's around $12,000 a year walking out the door.

Our AI recovers it โ€” automatically.

The four steps

1

It detects every denial

When an insurer denies a claim, they send back a standardized electronic file (called an 835/ERA) that every payer is required to use. The AI connects to your claim flow and reads these files the instant they arrive โ€” so no denial ever slips through unnoticed.

2

It decodes the reason

Every denial carries a code โ€” a CARC like CO-16 ("missing information"), often paired with a RARC like N290 ("invalid rendering provider ID"). To a busy therapist these are cryptic. To the AI, they're a known vocabulary of a few hundred codes. It reads the code and knows exactly what went wrong. (Try our free denial-code decoder.)

3

It fixes and refiles

Most denials are mechanical โ€” a wrong modifier, a coding mismatch, a missing field. The AI corrects them and resubmits. For claims that need an appeal (like medical necessity), it drafts the appeal with the right justification. And it does it before the filing deadline โ€” Medicare allows 365 days, but many commercial payers give as little as 90. Miss that window and the money is gone forever. The AI never misses one.

4

You get paid

Money you'd have written off lands back in your account. You see exactly what the AI recovered โ€” and you only pay from what it brings in.

The AI doesn't have to be brilliant. It just has to do it.

Here's the key: you're not competing against a skilled human biller. You're competing against a denial sitting ignored in a folder until the deadline kills it. The AI's edge isn't intelligence โ€” it's that it works every denial, every time, the moment it lands. It never gets busy, never forgets a deadline, never decides a claim is too small to bother with. That reliability is the whole game.

It works with the EHR you already use

You don't switch anything. Whether you're on SimplePractice, TherapyNotes, or another system, the AI layers on top of your existing claim flow. It's the denial-recovery engine your EHR doesn't have โ€” not a replacement for the tools you already know.

What we're honest about

Some denials genuinely need a human on the phone with the payer โ€” portal quirks, verbal appeals, one-off oddities. The AI handles the majority that are mechanical or documentable, and flags the rest so nothing falls through the cracks. We won't pretend a robot solves 100% of everything โ€” but the part it does solve is the part that's costing you the most.

See what the AI can recover for you

Free denial audit โ€” we'll show you the recoverable money sitting in your denied claims right now. No cost, no commitment.

Get My Free Denial Audit →

Frequently asked questions

How does AI denial recovery work?
The AI connects to your claim flow, detects each denial the moment it's sent back, decodes the reason code (CO-16, N290, etc.), corrects the claim or drafts an appeal, and refiles before the deadline โ€” so you get paid for claims that would otherwise be written off.
Does it work with my EHR?
Yes. It layers on top of your existing EHR (SimplePractice, TherapyNotes, and others) โ€” no switching systems.
Do I have to do anything?
Very little. After a one-time setup, the AI works your denials automatically. Early on you can approve appeals before they send; over time it runs in the background and you just see what it recovered.
How much does it cost?
You pay from what the AI recovers โ€” a fraction of the 5-10% traditional human billers charge. If it recovers nothing, you pay nothing. See pricing.