Intelligent denial management for healthcare

Denialmanagement,rebuiltaroundAI.

CoClaim.AI is an intelligent denial management platform that connects clinical systems (EMRs) to insurers and payors. Our AI agent is built to automate claim recovery and eliminate manual chaos.

HIPAA compliant · SOC 2 Type II aligned
How we engage/ the loop

One denial.
Four moves.
Zero unchecked sends.

coClaim runs the drafting loop end-to-end: reading denials, writing appeals, dispatching approved letters, tracking recovery. Your team runs the judgment calls. That's the whole engagement.

01·Ingest

Denial lands.

coClaim pulls the remit, chart notes, and payer rules from your RCM the moment a claim is denied. No inbox triage, no copy-paste.

Automatic intake
02·Draft

Appeal written.

A first-pass letter, grounded in your documentation and payer policy, lands in your queue. Ready for review.

Under 60 seconds
03·Review

You sign off.

Every outbound action pauses for a human reviewer. Nothing leaves your name unchecked, nothing auto-sends.

100% human-approved
04·Recover

Paid. Tracked.

Approved appeals dispatch through your clearinghouse and recovery flows back to your dashboard. No chasing.

Closed loop
Billions
The Problem

Denials are bleeding US healthcare.

Three numbers explain why conventional RCM tooling has failed to close the gap.

The Macro Problem
Billions

in denied invoices annually in the US. A national-scale revenue leak that conventional tooling has failed to close.

The Operational Drain
60%

of biller time lost to repetitive follow-ups using outdated spreadsheets. The cost of manual rework ranges from $25 to $118 per invoice.

The 30-Day Cliff
30 Days

Denied invoices not addressed within 30 days are rarely recovered, resulting in permanent revenue loss. Modern RCM demands a faster response.

Three ways to engage

Pick the level of help you need.

From self-serve software to a fully managed team working your denials pipeline. All three plans are priced together on the pricing page.

01

The Platform

Self-serve AI denial management software. A worklist, an agent, and approval gates. Your team stays in control.

  • Worklist + AI agent
  • EMR sync
  • Approval-gated automation
See platform plan
02

Consultancy

RCM strategy and implementation. Our team helps you identify leaks, fix workflows, and deploy CoClaim effectively.

  • Denial root-cause audit
  • Payor playbook design
  • Staff training & onboarding
See consultancy plan
Most popular
03

Managed Service

Don’t want to run it yourself? Our RCM team drives the human-in-the-loop on CoClaim for you.

  • Dedicated expert billers
  • End-to-end appeal submission
  • Weekly recovery reporting
See managed service

How CoClaim works

From denial to submitted appeal, in one continuous workflow.

01

Sync denials

CoClaim pulls denied claims directly from your EMR. No manual exports.

02

Agent prepares the appeal

It gathers documents, scans them, and drafts the cover letter.

03

Human approves

Every action card is reviewed and approved by a biller, yours or ours.

04

Submit & track

Assembled PDFs are submitted and tracked until they resolve.

A modern response to denials.

See how CoClaim.AI works: as a platform, as a consultant, or as a fully managed team.