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Recover Denied Revenue with ClaimFix AI

Denials Don’t Stand A Chance: Win Appeals And Fix Errors With Evidence-Backed Precision

ClaimFix AI automates medical necessity appeals, detects billing errors, and optimizes revenue, Fueled by AI and Proven Clinical Data for clarity

About Us

ClaimFix AI is a cutting-edge AI-powered platform revolutionizing medical billing for healthcare providers. We help hospitals, clinics, and billing teams recover millions in lost revenue by tackling denied insurance claims, especially those rejected as “not medically necessary.” Using advanced technology, ClaimFix AI analyzes claims, detects billing and coding errors (e.g., CPT/ICD-10 mismatches), and generates evidence-backed appeal letters, boosting reimbursement rates by 20% and slashing appeal time in half. Our AI taps into clinical studies (via PubMed) and legal precedents (via CourtListener) to ensure unbeatable appeals, like overturning an MRI denial with a 2023 study and a 2018 court ruling.

With our slogan, “Denials Don’t Stand a Chance,” we deliver bold, efficient solutions, integrating seamlessly with EHRs like Epic and Cerner. Starting at $4,995/year, ClaimFix AI empowers providers to dominate insurers, recover $50K+ annually, and focus on patient care. Visit us at claimfixai.com to request a demo and see why we’re the ultimate revenue recovery partner for healthcare.​​

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The Biggest Revenue Leak in Healthcare

Denied Claims
  • 80% of denied claims are preventable - but manual appeals are slow and inconsistent.

  • Insurers reject claims for “lack of medical necessity” even when evidence supports treatment.

  • Hospitals and providers lose millions every year due to claim denials.

Billing & Coding Errors
  • Mistakes like mismatched CPT & ICD-10 codes lead to underpayments and rejections.

  • Upcoding, downcoding, duplicate charges, and missing modifiers go unnoticed.

  • Manual billing audits are expensive and inefficient.

AI That Knows Medical Necessity & Billing Rules: Better Than Anyone

AI-Powered Appeals

Reads denied claims, finds errors, and builds evidence-backed appeal letters in seconds.

 

​​Uses clinical studies, case law, and payer guidelines to overturn denials.

Billing & Coding Optimization

Detects and corrects errors before claims are submitted


Prevents underpayments, reduces audits, and ensures compliance

AI-Powered Appeals

Seamlessly connects with Epic, Cerner, Athena, and other EHRs


 No manual work - AI handles everything in the background

Fixing One Claim is Easy. Fixing Thousands is Game-Changing

AI-Powered Appeals
  • ClaimFix AI ingests denied claims, EHR data, and billing records in real time.

  • Connects with payer policies, medical guidelines, and past approvals.

AI-Powered Bulk Analysis
  • Detects medical necessity errors, coding mistakes, and compliance risks.

  • Generates appeal letters backed by evidence and payer-specific rules.

Recover & Prevent
  • Bulk-submit appeals or auto-correct claims before submission.

  • Reduce denials, increase reimbursements, and maximize revenue.

Here’s How AI Recovers Millions & Prevents Billing Errors

Claim #
CPT Code
Denial Reason
234567
72141
Experimental Procedure
123456
99214
Not Medically Necessary
AI Findings
Billing Errors
Appeal Status
Clinical Study + Legal Case
Upcoding Detected
Ready to Submit
Clinical Study Support
Duplicate Charge
Overturned ✅

Recover Millions & Fix Billing Errors for a Fraction of the Cost

Enterprise Plan ($4,995/year)
Recovers 10X Your Cost
 Unlimited AI Claim & Billing Scans
Real-Time Billing Error Detection
EHR Integration (Epic, Cerner, Athena)
Dedicated Compliance Monitoring
24/7 AI-Powered Insights & Support
Automated Appeal Generation

Let’s Recover Your Revenue & Optimize Billing

How Many Denials & Billing Errors Do You Process Per Month?
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