AI Admin Agents for Providers and Plans
AI for
DenialsWork the backlog, recover the recoverable.
genhealth.ai/denials/A8217/decision
Denied claimCARC 50
$4,820
BCBS Illinois · Claim 8217-04
ReasonMedical necessity
Appeal packet0 / 3
Denial letter
Clinical notes
Plan policy citation
Targets 90+ and 120+ aging buckets, Medicaid crossover, and categories surfaced by an A/R diagnostic. Diagnoses the denial reason from the ERA/EOB, regenerates corrective documentation via upstream agents, submits the corrected claim or appeal, and tracks each to terminal resolution. Monthly reporting by payer, bucket, and category.
Keep your existing Denials workflows
Reduce admin burden by over 80%
Automate tasks between Denials and other apps
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