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 AI platforms, DocIQ and ClinIQ, work alongside our team of attorneys, clinicians, and AI engineers to systematically create winning appeals.
Best part? We only succeed when you do.
Partnership Powered by Excellence
Your reality could look like this:
Faster Appeals
2.2x
Quicker from placement to first appeal with AI
Speed to closure
1.4x
Faster from placement to closure with AI
Improved Win Rate
27%
DRG downgrade overturn rate with AI
How We Deliver More
We provide award-winning denial management that gets results. While others plan their AI strategy, we’re already using AI to overturn denials across every payer and claim type—commercial, government, MCOs, and third-party. Partner with us to capture the revenue you’ve earned.
AI-Generated Appeals
DocIQ, our proprietary AI platform, generates appeals backed by precise, cited clinical evidence—extracting exact facts from medical records with 99.7% accuracy for faster, defensible results at scale.
Clinical Intelligence
ClinIQ, our proprietary AI platform, analyzes denial data against evidence-based criteria to surface documentation gaps and denial trends—equipping your CDI and UM teams to intervene earlier and prevent repeat denials.
Workflow Automation
Compass, our proprietary workflow automation platform, intelligently routes every claim to the right expertise at the right time—streamlining workflows, reducing manual handoffs, and accelerating resolution across our entire team.
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.
Frequently Asked Questions
What denial recovery rate can your denials management services achieve for our hospital?
Our denials management services typically achieve 2.2x faster first appeals and 1.4x faster claim closure through AI-powered analysis validated by legal and clinical experts—schedule your free assessment today to accelerate your revenue recovery.
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 some of the nation’s 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—while delivering clinical intelligence directly to your CDI and UM teams so they can close documentation gaps and prevent repeat denials.
How does your denials management service differ from other healthcare RCM vendors?
What sets us apart is how deeply we integrate AI with attorney and clinician expertise. Our proprietary AI extracts clinical evidence and cross-references it against coding, clinical guidelines, and payer policies to automate appeal letter generation—extending our team’s capabilities and making it economical to pursue high-volume, lower-dollar claims most vendors leave unworked.
I would absolutely recommend Aspirion to a friend. We brought them on, and they exceeded our net revenue-improvement goal. They continue to go and find dollars for us. Additionally, Aspirion is all in with strategy and the use of AI. I love where they are going.
Contact Us
Contact us to find out how our highly-skilled denials team harnesses AI to meet your denials challenges head on.