The Revenue Your Practice Has Already Earned — But Never Collected
AI service autonomously monitors denied claims, navigates payer portals, files appeals, and tracks every dollar to resolution. No new headcount. No manual review.
Source: AHA, MGMA, CMS claims data
Billions in revenue sits in denied-claim queues — unworked.
Source: American Hospital Association, MGMA, CMS data
From Denied to Paid — Automatically
The agent handles the full post-denial workflow. Your billing staff focuses on what only humans can do.
Connect & Monitor
AI service connects directly to your EMR billing data and monitors for denied claims in real time — no manual export, no CSV uploads.
Analyze & Appeal
For each denial, the agent determines the correct appeal pathway, assembles supporting documentation, drafts the appeal letter, and submits through the payer portal.
Track to Resolution
Every appeal is tracked until paid or exhausted. You see exactly what was denied, what was appealed, and what came back — all logged with zero manual intervention.
Why Practices Switch from Waystar to AI service
Existing RCM platforms stop at initial submission. The denial queue is where revenue dies — and where we start.
Manual / Waystar
Autonomous agent
Built for the Denied-Claim Gap Nobody Else Owns
Real-Time Denial Monitoring
Connects to your EMR and watches billing data 24/7. The moment a claim is denied, the agent is already working the appeal — before your billing staff even sees it.
Autonomous Portal Navigation
Logs into payer portals, navigates appeal workflows, and submits documentation without a human touching a keyboard.
Intelligent Appeal Assembly
Parses CARC/RARC codes, CPT/ICD combinations, and payer-specific requirements to build the strongest possible appeal packet automatically.
Full Audit Trail
Every action logged — appeal submitted, status checked, payment confirmed. Compliance-ready documentation on every recovered claim.
Zero Workflow Disruption
Plugs into existing EMR systems (athenahealth, eClinicalWorks, Epic). No change to how your team submits initial claims.
Recovery-Based Pricing. You Only Pay When We Win.
No monthly seat fees. No upfront cost. AI service earns when your practice earns — aligning our success with yours.
- Up to 200 denied claims/month
- EMR read integration (1 system)
- Autonomous appeal filing
- Monthly recovery report
- Email support
- Up to 800 denied claims/month
- EMR integration (up to 3 systems)
- Autonomous portal navigation
- Real-time denial dashboard
- Priority appeal queue
- Dedicated account manager
- Quarterly business review
- Unlimited denied claims
- Multi-EMR full integration
- Custom payer portal coverage
- White-glove onboarding
- SLA-backed turnaround
- API access
- Dedicated engineering support
Percentages applied to actual recovered revenue only. No recovery = no charge.
Practices Recovering Revenue They'd Given Up On
Riverside Orthopedics
8-provider group
“We were writing off 18% of denied claims every month — there just wasn't bandwidth to chase them. AI service recovered $47,000 in the first 90 days without a single new hire.”
— Sarah M., Billing Director
Clearwater Behavioral Health
4-provider clinic
“Behavioral health has the highest denial rates in the industry. We used to appeal maybe 20% of denials manually. Now every single denial gets reviewed and filed automatically.”
— James T., Practice Administrator
(Illustrative case studies)
“The ROI conversation was simple — if you recover revenue you'd already written off, the percentage fee is pure upside.”
— Dr. Patricia K., Physical Therapy Group
Questions Practices Ask Before Signing On
Start Recovering Revenue You've Already Written Off
Book a 20-minute demo. We'll show you exactly what your denial queue looks like — and what a recovery rate looks like in practice.
Book a DemoNo commitment. No setup fee. First 90 days on performance terms.