Two-Phase Trojan Horse
Days 1–60: Pure 15% contingency on recovered dollars. Zero budget approvals, zero risk. Day 61+: Optional transition to high-volume $12/appeal + 8% recovery.
Headless ANSI X12 835 Ingestion · Zero PHI Egress · Pure Contingency
The autonomous denial appeals engine built for surgical, orthopedic, and specialty RCM bureaus. Upload raw 835 ERA files → synthesize policy-cited appeal packets with CMS/payer guidelines → recover cash with zero upfront fees.
Days 1–60: Pure 15% contingency on recovered dollars. Zero budget approvals, zero risk. Day 61+: Optional transition to high-volume $12/appeal + 8% recovery.
No generic LLM fluff. Synthesizes medical necessity (CARC 50) and pre-auth (CARC 197) rebuttals cross-referenced against exact LCD/NCD and commercial payer guidelines.
Container runs with isolated zero-egress network rules. PHI is de-identified and matched locally, ensuring effortless HIPAA and BAA compliance for your compliance officers.