Denials Management
Beat AI Denials With AI Appeals
Is your team drowning in denials? Payers are using AI to automatically reject claims faster than ever, and it’s crushing your bottom line—especially those tricky DRG and patient-type downgrades. We’ve got your back.
We use the power of AI and human expertise to get your claims paid. Our proprietary platform, Compass, works alongside our team of attorneys & legal professionals, clinicians, and AI engineers to systematically create winning appeals.
Best part? We only succeed when you do.
Partnership Powered by Excellence
Improved Appeal Outcomes
90% +
Day-1 clinical denials overturn rate
Increased Yield
40%
Expected reimbursement yield increase
Optimized Collections
15%
More cash collected than competitive solutions
How We Deliver More
We provide award-winning denial management that gets results. While others are still planning their AI strategy, we’re already using AI and ML technology to overturn denials across all payers—commercial, government, MCOs, and third-party. Our proven approach maximizes recovery for every claim type. Partner with us for a single, powerful solution that helps you capture the revenue you’ve earned.
Tech-Enabled Workflow
Our team streamlines complex reimbursements using our cloud-based proprietary platform that helps decode trends into insights and enhances the patient experience by offering more convenient ways to gather patient information.
Strategic AI Investment
We invest heavily in AI technology to address the growing volume of unworked and partial denials—leveling the playing field with healthcare insurance companies by effectively proving medical necessity and securing rightful payments.
Denial Automation
Our AI automates denial appeals to analyze complex medical records and contracts, generating evidence-based responses for DRG, medical necessity, and other denial types while enabling our clinical experts to review and refine.
Unmatched Expertise
We bring unmatched depth of expertise through our multidisciplinary team of attorneys & legal professionals, clinicians, claims specialists, and AI engineers—all focused on maximizing your denials recovery.
Dedicated Account Management
Your dedicated client success director proactively drives your results through personalized support—from strategic implementation and team training to continuous performance optimization and data-driven insights.
Elite Data Security Standards
We demonstrate our commitment to protecting your healthcare data with the most stringent industry-defined risk and compliance requirements via our HITRUST Risk-based, 2-year (r2) Certification.
Innovative and Award-Winning
Ranked Best in KLAS for Denials Management, we deliver unmatched capabilities by combining an industry-leading team of attorneys & legal professionals, clinicians, and claims specialists with powerful AI technology supported by our own AI engineers.
From commercial and government to MCO and TPL denials, our integrated approach of human expertise and advanced technology ensures successful appeals and your rightful reimbursement.
Resolved Denials
in Total Collections
Frequently Asked Questions
What denial recovery rate can your denials management services achieve for our hospital?
We consistently achieve industry-leading denial recovery rates for our hospital clients including overturning over 90% of day 1 clinical denials. Our commitment to excellence has earned us the 2024 & 2025 Best in KLAS award for Denials Management.
How will your denials management solution integrate with our hospital's EHR system?
Our proprietary Compass platform seamlessly integrates with your EHR system without disrupting your existing processes or workflows.
Can you share hospital denials management client successes showing ROI for organizations like ours?
We’re proud that 12 of the nation’s 15 largest health systems have chosen to partner with us. We would love the opportunity to provide you with a free assessment to identify denials management opportunities specific to your hospital.
What is the fee structure for your hospital denials management service?
We operate on a contingency-based model, meaning we only get paid when you get paid. Our performance-based approach ensures our success is directly aligned with your financial recovery goals.
How do you use artificial intelligence in your denials management services?
We leverage proprietary artificial intelligence technologies to improve workflow processes and reduce time to resolution. Our AI capabilities include intelligent document processing to analyze complex medical records, natural language interaction with medical records, and automated appeal letter generation.
How does your denials management service differ from other healthcare RCM vendors?
Our proprietary AI automates appeal letter generation by extracting clinical evidence with coding & clinical guidelines and payer policies. This extends our attorney and clinician capabilities—transforming the costly appeals process, accelerating revenue capture from otherwise unworked high-volume, lower-dollar claims.
Contact Us
Aspirion is proud to be named back-to-back Best in KLAS for Denials Management Services in 2024 & 2025.
Contact us to find out how our highly-skilled denials team harnesses AI to meet your denials challenges head on.