Agents / Claims & Denials
Agent 05 of 06
Claims & Denials
Catch a denial pattern before it costs you a month of revenue.
The problem
Denials get worked one at a time, reactively — so the same coding or documentation mistake repeats for weeks before anyone notices the pattern.
Primary metric
Denial rate & days-to-resolution, by payer and reason
NotifyDraft & ApproveFully Autonomous
Opt-in, per workflow. Off by default until you turn it on.
How it works
- Monitors claim status across payers.
- Classifies each denial by root cause.
- Drafts the resubmission or appeal, and flags recurring patterns for a process fix, not just a one-off fix.
Claims & DenialsThis week
3 denials this week traced to the same missing attachment — resubmission drafted for all three.
Review & send