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, clinicians, and data scientists to systematically create winning appeals.
Best part? We only succeed when you do.
Partnership Powered by Results
Improved Appeal Outcomes
Increased Yield
Optimized Collections
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 platform leverages large language models (LLMs) to analyze lengthy medical records and managed care contracts, generating evidence-based appeals—including DRG, medical necessity, and (ghost) denials—and allowing our experts to focus on review and refinement.
Unmatched Expertise
We bring unmatched depth of expertise through our multidisciplinary team of more than 180 attorneys & legal professionals, 80 clinicians, 900 claims specialists, and 35 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
Our US-based team includes:
Clients we work with
We work with domain experts to improve roadmaps, project portfolios processes and practice for long-term success.
We work with leaders to improve innovation and strategy for sustainable growth and profit across horizons.
We support a network of like-minded consultants and advisors that want to help their clients innovate and sustain effective development.
Sensaco provides technical due diligences, software and product assessment, as well as second opinions for investment cases and M&A.
What our clients say
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