Stop losing money to
NorthStar Claim scrubs every claim before it is submitted, predicts the denials your payer will issue, auto-codes ICD-10 and CPT from the clinical record, and writes the appeal if one slips through.For $0.50–$1.00 per claim.
Every denied claim is money you already earned.
Providers lose revenue not because the care wasn't delivered, but because the claim was coded wrong, submitted with a missing modifier, or hit a payer rule nobody checked. By the time the denial lands, the cost of reworking it is already $25–$181 — and fewer than 1% of denied claims are ever appealed.
First-pass denials are the single biggest controllable leak in provider revenue.
The money is almost always recoverable — the bottleneck is the appeal workflow.
Every preventable denial burns staff time before it ever touches the payer.
From clinical note to paid claim.
Connect
Point us at your EHR and clearinghouse or drop an ANSI-X12 837 batch. No rip-and-replace.
Scrub
Every claim is checked against live payer rules for coding errors, missing modifiers, and eligibility issues before it leaves your building.
Predict
A denial-risk score is attached to each claim so your team fixes the risky ones first — not after the money is gone.
Recover
If a claim still gets denied, our AI writes a medically cited, payer-ready appeal in seconds.
Four modules. One revenue engine.
Each module runs on the same clinical record — so coding, scrubbing, prediction, and appeals all use one source of truth instead of four disconnected tools.
Pre-submission claim scrub
Catches the errors payers deny for — invalid code pairs, missing modifiers, unlisted NCCI edits, eligibility mismatches — before the claim is filed.
- Live payer rule engine
- NCCI edit checking
- Eligibility verification
Autonomous medical coding
Reads the clinical note and assigns the ICD-10 and CPT codes that document what was actually done, with the modifiers to match.
- ICD-10 + CPT from clinical text
- Modifier + linkage suggestion
- Coder review queue
Denial prediction & prevention
Scores every claim against millions of historical payer decisions and flags the ones likely to be denied so your team acts first.
- Per-claim denial risk score
- Root-cause attribution
- Prioritized worklist
AI denial appeals
Ingests the denial letter, pulls the clinical justification and payer policy, and drafts a legally structured appeal ready to send.
- Multi-agent appeal drafting
- Medical-necessity citations
- Payer-algorithm aware
Pay per claim. Not per seat.
You only pay when we process a claim — $1.00 down to $0.50 as your volume grows. No six-figure licence fee before you have seen a single dollar come back.
Starter
Up to 2,500 claims / month
$250 / month minimum
Independent clinics and specialty practices that want clean claims without hiring more billing staff.
- Pre-submission claim scrub (X12 837)
- Denial risk score on every claim
- ICD-10 / CPT auto-coding from clinical notes
- Denial reason decoder + fix guidance
- HIPAA BAA included
- Email support, 1 business day
Growth
2,501 – 25,000 claims / month
$750 / month minimum
Multi-provider groups and ASCs where a single point of denial rate swings six figures a quarter.
- Everything in Starter
- Autonomous denial prevention (payer rule engine)
- AI appeal drafts — 25 included / month
- ERA (835) reconciliation + cash posting
- Underpayment & silent-PPO variance detection
- Priority support, 4-hour response
Scale
25,001 – 100,000 claims / month
$6,000 / month minimum
Hospital systems and large billing operations running hundreds of thousands of claims annually.
- Everything in Growth
- Unlimited AI appeal drafts
- Multi-entity / multi-TIN roll-up reporting
- EHR + clearinghouse API integrations
- Custom payer rule packs
- Dedicated success manager + SLA
AI Denial Appeals
Upload a denial letter and get a payer-ready, medically cited appeal in seconds. Choose how you pay:
Flat fee. Bulk pricing drops to $12 at volume.
We only get paid on recovered dollars. $0 upfront.
Payers & Enterprise
Selling to insurers or running 100k+ claims a month? We license the adjudication and FWA detection stack under an enterprise agreement or a shared-savings model — you pay from the capital we protect.
- Automated adjudication for clean claims
- Fraud, waste & abuse (FWA) detection
- Volume rates from $0.50 / claim
What would this cost — and return?
Move the sliders. Numbers update live.
Model assumes a blended $320 allowed amount per claim and a 55% net recovery on denied dollars. Illustrative only — your results depend on payer mix and specialty.
It was denied. We'll write the appeal.
Payers automate denials in batches. Our AI fights back the same way — ingest the denial, cite the medical necessity and the payer's own policy, and produce an appeal that is ready to send in seconds.
- 1Upload the denial letter or EOB
- 2We extract the denial code, CPT, and payer
- 3Clinical notes + payer policy are matched
- 4A cited, structured appeal is generated
Built for everyone who touches a claim.
Clinics & private practices
Get paid faster on the work you already do.
- Clean claims without hiring coders
- Fewer first-pass denials
- Denial letters handled in seconds
Hospitals & health systems
Compress AR days and stop the revenue leak at scale.
- Multi-entity roll-up reporting
- Underpayment & silent-PPO detection
- EHR + clearinghouse integrations
Payers & TPAs
Auto-adjudicate clean claims and surface FWA.
- Instant adjudication for low-risk claims
- Fraud, waste & abuse detection
- Shared-savings or enterprise licensing
PHI in. Nothing stored out.
Protected health information is processed in volatile memory and never persisted to disk. Every customer is covered by a signed BAA, and the platform is engineered around HIPAA from the ground up.
See what's leaking — before you pay us anything.
Run a free claim scan on a sample of your historical claims. We'll show you exactly how many would have been flagged, what they were worth, and what the recoverable amount looks like.
Get started with your organisation
We'll set up your account and BAA.
Frequently asked questions
Stop leaving recoverable revenue on the table.
Start with a free scan or generate an appeal in seconds. See the value before you commit.