Denial rates have surged in the past five years, putting immense pressure on hospitals to fight for the revenue they rightfully deserve. Enter SmarterDenials™, the clinical AI tool that gives hospitals a faster, more efficient way to overturn denied claims and recover lost revenue.
Quickly identifies discrepancies between the denial and the documented care.
Automatically generates letters backed by the clinical evidence and coding references needed to win.
Our generative AI creates appeal letters in just minutes.
Your team stays in control to review, refine, and send the final letter.
Traditional appeals processes can take hours, requiring a deep dive into patient charts, clinical documentation, and coding rules to craft a compelling case.
SmarterDenials changes everything. Hospitals can now create comprehensive appeals for their most complicated denials in minutes, helping them get paid more and paid faster.
Payers are tightening criteria, and hospitals need a tool that fights back with speed and accuracy. SmarterDenials empowers your team to win more appeals and drastically cut administrative work. The result? Better outcomes and stronger revenue recovery. Free up your staff to focus on patient care, not paperwork.
Simply upload a denied claim, and within minutes, the AI reviews the patient chart, identifies key clinical documentation, and automatically generates a comprehensive appeal letter. Your normal review process refines the letter and sends it — your team is in full control.
Even if it’s a fax or pixelated scan, SmarterDenials extracts key data to build effective appeal arguments.
Analyzes uploaded denial and the complete patient record to identify key clinical documentation that supports the claim(s).
Creates a comprehensive clinical appeal letter in minutes that the team can view, edit in the SmarterDx web app, and copy or download to send.
Whether it's a DRG downgrade or a level of service denial, SmarterDenials provides the necessary clinical evidence and coding references to support the appeal.
Quickly identifies discrepancies between the denial and the documented care.
Automatically generates letters backed by the clinical evidence and coding references needed to support your case.
Slashes appeal times from hours to minutes, while empowering your staff to review letter drafts and make final decisions.
Dr. Cam Patterson, CEO, University of Arkansas for Medical Sciences