YOUR DENIALS ARE PREDICTABLE
A 30-day intelligence pilot to identify millions in preventable denials. Upload your claim data. We run full payer intelligence analysis. Your team works the top 20 winnable claims with our evidence checklists and strategic guidance. Typical recovery: $50-200K per pilot.
THE 30-DAY PILOT STRUCTURE
Phase 1: Payer Intelligence (Weeks 1-2)
Your RCM team uploads 200 denied claims (CSV). Our platform runs full predictive analysis against 12+ payers, 200+ denial patterns, and 50-state regulatory database. We deliver a ranked priority list of 15-20 genuinely winnable claims with evidence checklists, regulatory leverage points, and insider payer tactics.
Phase 2: Win the Appeals (Weeks 3-4)
Your RCM team works the top 15-20 claims using our evidence checklists. We provide regulatory leverage points (state laws, enforcement actions), insider payer tactics, timeline compliance calendars, and appeal letter templates. Ned provides strategic guidance and POC support throughout.
Track & Scale
Document outcomes on all 15-20 appeals. Real data becomes your proof point. Successful pilots typically lead to annual platform engagement (starting at $100K+) or expanded appeal outsourcing.
PILOT RETURNS
Typical 30-Day Pilot Results
Priority Recovery List
| Claim ID | CPT | Payer | Denial Code | Win % | Est. Recovery |
|---|---|---|---|---|---|
| CLM-001847 | 29881 (TKA) | UHC | CO-50 | 92% | $4,200 |
| CLM-001923 | 33535 (CABG) | Anthem | PR-1 | 88% | $18,500 |
| CLM-002041 | 34830 (EVAR) | Cigna | CO-16 | 76% | $12,100 |
30-DAY PILOT: $5,000
One fixed price. Everything included: platform access, 200-claim analysis, payer intelligence, evidence checklists, regulatory leverage, and strategic guidance from Ned throughout the 30-day engagement.
Enterprise Pilot
- 30-day engagement
- 200 denied claims analyzed
- Ranked priority list (15-20 claims)
- Evidence checklists (payer-specific)
- Regulatory leverage mapping
- Insider payer tactics & timelines
- Ned's strategic guidance
- POC support throughout
- Outcome tracking & reporting
Why 30 days? This timeframe proves value quickly (average recovery: $50-200K). Successful pilots lead to annual platform engagements ($100K+) or expanded consulting relationships. No contract lock-in — if the pilot doesn't deliver, you walk away with real data and a clear recovery roadmap.
BUILT FOR HEALTH SYSTEMS
VP Revenue Cycle
Prove ROI in 30 days without long-term commitment. $50-200K recovery pays for itself 10-40x over. Real data to pitch the board.
RCM Leadership
Deploy insider payer tactics to your team immediately. Evidence checklists + regulatory leverage unlock appeals you didn't know you could win.
ENTERPRISE PILOT — QUESTIONS
What data do we need to provide?
A CSV export from your billing/EHR system: Claim ID, CPT code, Payer name, CARC code, Denial Date, and Denial Amount. Most RCM teams export 200 claims in ~10 minutes. We handle de-identification internally.
How is my data protected?
We use de-identified analysis — your patient names, medical record numbers, and all PII are removed before our AI analyzes the claims. Our platform uses AES-256 encryption at rest and TLS in transit. We maintain detailed audit logs of all data access.
What's the turnaround time?
All audit tiers are completed within 48 business hours. Quick Scans typically complete within 24 hours. You'll receive a PDF report plus direct access to your analysis results in our platform.
What's the 30-day timeline?
Weeks 1-2: You upload CSV. We run platform analysis and deliver ranked priority list (top 15-20 claims) with evidence checklists. Weeks 3-4: Your team works the appeals. We provide ongoing strategic guidance and support. Total time: 4 weeks start-to-finish.
Do you execute the appeals?
No. We provide the roadmap and tools; you execute the appeals. Each claim gets an evidence checklist (what to pull from your chart), regulatory leverage points (state laws, enforcement actions), payer-specific tactics, and compliance calendars. Your RCM team does the work; we show them how to win.
What happens after 30 days?
You own the data and roadmaps forever. Successful pilots lead to either: (1) Annual platform subscription ($100K+) for enterprise-wide denial prevention, or (2) Expanded consulting. No forced upsell — the pilot proves its own value and the next steps become obvious.
How do we get started?
Click "Schedule Discovery Call" at the top. 15-minute conversation with Ned. We discuss your denial landscape, confirm you have the claims to analyze, and lock in a start date. Most pilots launch within 2 weeks of initial call.
SCALE BEYOND THE PILOT
Successful 30-day pilots lead to enterprise platform deployments. Here's the path:
Annual Platform
Enterprise-wide denial prevention. Denial intelligence dashboard, pre-submission scoring for all CPT codes, predictive denials, 12+ payer behavior tracking.
Learn More →Ongoing Support
Extended strategic guidance, RCM team training, regulatory updates, new payer intelligence as markets shift.
Discuss Options →Appeal Outsourcing
If you prefer, we handle full appeal execution. Paid on contingency (% of recovery). Surgical denials specialty.
Schedule Call →