SmarterDenials

Defend every claim, appeal by appeal

SmarterDenials™ is clinical AI that turns complex care into defensible clinical case evidence. With targeted, high-impact appeal letters, teams can recover more revenue with less friction. That’s the definition of working smarter, not harder.

36%

average overturn rate for medical necessity and DRG downgrade denials

$4.6K

average revenue recovered per appeal

57K+

denials processed

$345M+

estimated at-risk dollars processed

The mounting denials problem

As denials skyrocket with payer-adopted AI solutions, appealing DRG downgrades and medical necessity denials is becoming more complex. Health systems need a tool that fights back with speed, precision, and results.

The SmarterDenials solution

SmarterDenials reviews every relevant piece of the patient record and builds a complete appeal in minutes, even for complex cases, so health systems recover more revenue, faster.

SmarterDenials dashboard

How it works

Turn the payer’s denial into your strongest argument

Everything your appeals team needs to fight back

Clinical AI analysis

Quickly identifies discrepancies and medical necessity evidence between the denial and the documented care.

Comprehensive clinical evidence

Automatically generates letters backed by in-line clinical evidence and coding references needed to overturn even the most complex cases.

Lightning-fast generation

Our generative AI creates appeal letters in just minutes.

User-friendly workflows

SmarterDenials drastically reduces time and paperwork, but your team has full control — reviewing, refining, and sending the final letter.

How one health system turned its denials backlog into $1.5M recovered
How one academic health system turned complex denials into a 91% win rate
“Our team is empowered. They are spending more time clinically validating diagnoses at risk for denial.”
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Contact us

Ready to boost overturn rates with unmatched appeals?

Get all of the evidence needed to generate clinically sound appeals at your fingertips. Ready to change the rising tides of denials? Let’s chat.

It’s officially in our orbit. A member of the SmarterDx team will be in touch soon.
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