RECOVER $2-4M IN DENIED CLAIMS.
I spent 20 years inside the system that denies your claims. I know how payers decide, which denials are winnable, and what evidence wins on appeal. Now I built the AI that uses all of it.
YOUR DENIALS ARE
COSTING YOU $2-4M/YEAR.
AI that identifies which denied claims you'll actually win — before your team spends an hour on them. Recover $2-4M annually in previously lost revenue. Built by a 20-year insider who architected 200+ payer integrations.
Across All U.S. Payers
Overturnable
Per Health System/Year
Year One
Before you appeal, we score which denials you can win. Your team prioritizes automatically — highest recovery value first. In a 200-denial backlog, focus on the top 15-20 that represent $2-4M in recovery potential.
Pre-built counter-arguments for every payer and denial code. Our AI identifies the claims most likely to win, then generates evidence checklists telling clinical teams exactly what to pull — no guessing, no back-and-forth delays.
Real-time denial alerts in your Epic clinical workflow. Providers see which claims might be denied before they code them. No separate system. No manual data entry. Integrates natively with FHIR and CDS Hooks.
Or try the live demo — no login required
PREDICTION,
NOT REACTION.
THAT'S THE
DIFFERENCE.
Traditional RCM tools help you manage denials after they happen. CoverageUnlocked predicts which denials you can win before submission and automatically prioritizes them by recovery value. Your team works smarter — fewer denials, better outcomes.
Working in Parallel
Behaviorally Mapped
Edges in Graph
Profiles + Enforcement
Integrated
Endpoints
That's 1 in 5 claims. Most are legitimate. Most health systems lack the tools to fight back systematically.
The system is designed to make people give up. Fewer than 1 in 50 denials are ever appealed.
With the right evidence and process, the overwhelming majority of appeals are overturned.
NED LUTZ —
20 YEARS
HEALTH SYSTEM
EXECUTIVE.
Ned spent 20 years at major health systems including Sutter Health and MultiCare — building the denial systems, training the teams, architecting 200+ payer integrations. He knows exactly how payers decide, which patterns predict denial, and what evidence wins on appeal.
- Sold the Full Epic EHR PlatformThe system that processes claims at virtually every major hospital in America. I know how payer decisions flow through it.
- 200+ API Integrations ArchitectedSutter Health, MultiCare, St. Charles. I built the data pipelines that determine what insurers see when they review claims.
- $45M+ Revenue Opportunities LedInnovation portfolios, CEO advisory, 4 acquisitions executed. I understand how health system economics and payer contracts actually work.
- Chief of Staff, Sutter HealthChief of Staff to the CIO at one of California's largest health systems. I saw denial management failures at the executive level — and the millions left on the table.
"I sat in the rooms where these decisions were made. I saw how the technology, the vendor contracts, and the business incentives all intersected. The system is not confusing by accident. It's confusing by design. Every unanswered denial is money that stays in the insurer's pocket. I built CoverageUnlocked to change that — first for health systems, and ultimately for every patient."
FIGHT BACK.
AND WIN.
Everything patients need to appeal a denied claim — from AI-powered letters to expert coaching.
Upload your denial letter. Get a complete, ready-to-file appeal in minutes. AI-powered with clinical evidence and regulatory citations. No lawyer required.
Try Free →Free weekly insider intelligence. Real win stories, new state laws, payer intelligence, and the one thing your insurer hopes you never know.
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DENIAL
DISPATCH
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COMMON QUESTIONS.
Whether you're a health system evaluating our platform or a patient fighting a denial, here's what you need to know.
BUILT BY AN INSIDER.
BUILT TO RECOVER YOUR REVENUE.
CoverageUnlocked was founded by Ned Lutz, a 20-year health system executive who sold the Epic EHR platform and architected over 200 payer integrations at Sutter Health, MultiCare, and St. Charles. I spent two decades inside The Machine. Now I'm giving health systems and patients the insider playbook to beat it. Our AI-powered denial management platform predicts which denials you can win, generates the evidence to win them, and identifies the regulatory leverage that changes the outcome.