AnAI-nativedenialmanagementplatform.
CoClaim connects your EMR to your payors and gives billers a worklist, an AI teammate, and a submission pipeline in one place. Every category below is built to speed up one stage of the denial-to-appeal loop.
EMR integration & sync
How denials enter the platform.
Smart worklist & buckets
Where billers work the queue.
AI appeal agent
The AI that prepares each appeal.
Payor intelligence
Strategy, one payor at a time.
Submission & analytics
What happens after approval.
Platform, consultancy, or managed
Three ways to work with CoClaim, priced together on one page.
See plansYour clinical system, already inside.
CoClaim is designed to read denials directly from your EMR, so your billers stop hunting for payer remittances and start working the ones that matter.
One-time EMR connection
Live today for Brightree. Architecture ready for Bonafide, NikoHealth, and more.
Continuous background sync
Denials, payments, and closures flow in without manual exports or uploads.
Clinical context travels with each denial
Patient data, procedure codes, denial reasons, and payor requirements arrive already attached, so the next sections can act on them.
A workspace billers actually live in.
Filters, aging, and assignment built around how denial teams work, plus buckets that group related denials so they can be resolved together instead of one claim at a time.
Filters, assignment, and per-claim aging
Buckets that group related denials for batch resolution
Tasks and deadlines so nothing slips past its 30-day window
Every payor has a pattern.
Scorecards, aging, and similar-won denials help your team pick the appeals with the strongest grounds and the clearest next action, payor by payor.
Payor scorecards
Win rate and appeal volume per payor, tracked over time.
Similar-won denials
Past wins with the same denial reason surface as drafting references.
Payor-specific playbooks
Suggests the escalation step that has worked on this payor before.
Illustrative dashboard. Your metrics depend on your payors, denial mix, and clinical documentation.
From assembly to reporting.
Once an appeal is approved, CoClaim assembles the PDF package, submits it, and tracks the claim through resolution. Dashboards surface aging, turnaround, and recovery trends so leadership has visibility into the pipeline.
Appeal package assembly
Cover letter, supporting documents, and payer-specific PDF assembly.
In-flight status tracking
Each submitted appeal is monitored until the payor responds.
Operational reporting
Submission volume, cycle time, and backlog trends for RCM leadership.