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.