AI trained on your data.
Every deployment trains on your own 837/835 history: your payers, your reason codes, your denials. Once connected to your EHR, it keeps learning from what actually gets paid.
What we do
DeniaLogic™ flags risky claims before they go out and shows the root cause of every denial.
Our proprietary DeniaLogic™ platform shows you exactly where your denials originate, broken down by payer, reason code, and trend over time. Built on decades of experience working denials and appeals, it uses explainable, AI-driven analysis to flag risky claims and track every denial through resolution. Our specialists put those insights to work, so you can resolve denials faster and fix the patterns that cost you the most.
Scores every claim's denial risk before or at submission.
States the exact CARC/RARC or pharmacy reject code.
Recommends the corrective action and routes it to the right person.
Assembles the appeal package, routes it, and tracks it to resolution.
Tracks recovery with KPIs, payer scorecards, and trend analytics.
26%
fewer initial denials for an Alabama hospital
$3.5M+
recovered in six months
Every deployment trains on your own 837/835 history: your payers, your reason codes, your denials. Once connected to your EHR, it keeps learning from what actually gets paid.
Confident claims flow straight through. Uncertain and high-dollar cases route to your team, and you can move the threshold anytime.
DeniaLogic™ deploys wherever your compliance posture requires, alongside the systems you already run. Enterprise single sign-on is included.
DeniaLogic™ features role-based access and full activity auditing, and nothing ever feeds an external model. Every action is logged with its reasoning.
A working session on your 837/835 data, loaded in minutes. No integration required.
Containerized in your environment, trained on your history, under your controls.
At first your team reviews every case. As results build, you widen straight-through processing based on evidence you can audit.
It scores each claim’s denial risk before submission and flags the high-risk ones using our patent-pending Propensity-to-Deny™ worklists. Your team fixes those claims before they go out. For claims that still get denied, DeniaLogic™ shows the exact reason code and routes each one to the appropriate team member with a recommended fix.
In one free, personalized demo, we can show you your top payers, top denial reasons, and annual trends. Your claim files load in minutes, with no integration required.
In a free, personalized demo, we’ll show you your top payers, top denial reasons, and annual trends.
01
Scores each claim’s denial risk before or at submission.
02
States the exact CARC/RARC or pharmacy reject code behind every denial.
03
Recommends the corrective action and routes it to the right person on your team.
04
Assembles the appeal package, routes it, and tracks it to resolution.
05
Tracks recovery with KPIs, payer scorecards, and trend analytics.