Claims & Denial Management

Stop Claim Denials Before They Stop Your Revenue

Claims and denial management is a crucial but often complex part of the healthcare revenue cycle. Our AI-powered platform simplifies this process, helping you recover lost revenue and prevent future denials. We provide an end-to-end solution for predicting, preventing, and resolving denials faster, ensuring a smoother and more profitable revenue stream.

Carevyn’s AI-powered Claims & Denial Management solution accelerates your revenue cycle by predicting, preventing, and resolving claim denials—so you can focus on patient care, not paperwork.

Claims Denial AIFaster Denials

Key Features and Benefits

  • Proactive Denial Prevention: Our predictive analytics identify potential denial risks before a claim is even submitted. This helps your team correct issues like coding errors or missing information, reducing the likelihood of a denial.
  • Automated Claim Resolution: We streamline the appeals process by automatically flagging denied claims and providing the necessary documentation for resubmission. This accelerates your cash flow and reduces administrative burden.
  • Root Cause Analysis: Our system provides insights into the most common reasons for your denials, allowing you to address systemic issues and improve your processes over time. This data-driven approach helps you build a more robust revenue cycle.
  • Up to 30% Reduction in Denials: Carevyn's intelligent platform has helped organizations achieve a significant reduction in claim denials, leading to a direct increase in revenue.

How Our Solution Works in 3 Simple Steps

1. Predict

Our AI analyzes claims data in real-time to predict potential denials based on common patterns and historical data.

2. Prevent

We alert your team to potential issues, allowing you to fix claims before they are submitted to payers.

3. Resolve

For unavoidable denials, our platform simplifies the appeals process, providing the data and insights needed to resolve them quickly and efficiently.

Results That Matter

🚀 30%
Reduction in Denials

Organizations see fewer denials and more revenue.

2x
Faster Appeals

Accelerated claim resolution and cash flow.

💸 $500K+
Annual Revenue Recovered

For mid-sized practices.

🔍 100%
Root Cause Visibility

Full transparency into denial drivers.

Ready to Transform Your Revenue Cycle?

Discover how Carevyn's Claims & Denial Management solution can help you reduce denials, accelerate reimbursements, and focus on providing excellent patient care.