Denial prevention for a multi-site hospital system
Document Intelligence extracts payer remittance data and cross-references it against prior-authorization requirements. An agent flags claims likely to be denied before submission and drafts evidence-backed appeals for what still gets denied, with every output routed through a human reviewer before the claim is touched.
- Denials caught before submission instead of after
- Appeal drafts generated from the specific denial reason, not a template
- Every claim decision stays human-reviewed and auditable
