Transform Denials Into
Revenue Intelligence.
AI-powered denial analytics, KPI tracking, root cause detection, and appeal recommendations — without requiring PHI or EHR integration.
- Authorization32%
- Med Necessity22%
- Eligibility18%
- Missing Docs14%
- Other14%
Built By Revenue Cycle Experts.
Powered By AI.
Revenue Cycle IQ combines real-world revenue cycle expertise with AI-driven analytics to help organizations reduce denials, improve first-pass acceptance, identify operational gaps, and drive revenue performance improvement.
Built Around How Revenue Cycle Teams Actually Work.
No PHI Required
Files with patient identifiers are auto-rejected at upload. Operate entirely on de-identified data.
No EHR Integration Needed
Stand-alone analytics layer. No IT projects, no security reviews, no clinical-system coupling.
AI-Powered Denial Intelligence
Specialty-aware models translate raw codes into operational denial drivers across every line of service.
Executive KPI Visibility
Board-ready snapshots: denial rate, recovery $, AR days, payor scorecards, appeal-win rate.
Root Cause Analysis
Goes beyond denial codes — clusters denials by upstream cause and recurring pattern.
Appeal Recommendations
Ranks the best-fit appeal action per cohort, payor, and dollar value.
Upload Existing Reports
Use the denial exports you already produce. CSV in, intelligence out — within minutes.
Multi-Specialty Support
Full ANSI/CARC/RARC coverage across surgical, professional, hospital, ambulatory, and ancillary specialties — with payer- and specialty-aware refinements.
Try The AI Denial Intelligence Preview.
Upload a fully de-identified denial export (CSV or Excel, up to 150 rows) and we'll run the AI denial-intelligence dashboard on your own data — KPIs, top drivers, root causes, recoverable revenue, and an action plan — in seconds. No PHI. No EHR integration.
Files are parsed in your browser. We never upload or persist your denial data; only an anonymized usage record (email, browser ID, IP hash, row count, timestamp) is kept to enforce one preview per org.
This preview tool is intended for operational and analytical purposes only. Users are responsible for ensuring all uploaded files are fully de-identified and HIPAA compliant.
Executive-Level Revenue Cycle Intelligence.
Top denial categories, payor performance, KPI scorecards, revenue impact, root cause detection, and an AI insight feed — all refreshed from the file you uploaded. No EHR. No PHI.
Simple. Secure. Actionable.
Upload De-Identified Reports
Drop in a denial export from your billing system. PHI columns are auto-rejected before analysis begins.
AI Detects Trends & Root Causes
Our models translate ANSI/CARC/RARC codes into operational denial drivers and cluster recurring patterns.
Generate Executive Insights & Appeal Recommendations
Board-ready dashboards, prioritized worklists, and AI-drafted appeal recommendations — all in minutes.
Improve Collections & Reduce Denials
Recover lost revenue, fix upstream root causes, and watch your denial rate fall quarter-over-quarter.
AI That Explains The Why.
Every time you upload, Revenue Cycle IQ explains what changed, quantifies the dollar impact, and tells your team exactly what to go fix this week — in plain English.
- Plain-English explanations, not chart noise.
- Quantified cash impact for every trend.
- Concrete next-actions, ranked by recovery $.
Designed With Security & Compliance In Mind.
Revenue Cycle IQ is intentionally engineered to never see PHI. No integrations into your patient systems. No exposure to HIPAA obligations you don't want to inherit.
No PHI uploads permitted
Files containing patient identifiers are automatically rejected before analysis begins.
Automated PHI detection
ML-based column inspection plus a curated PHI lexicon catch identifiers before they leave your browser.
De-identified reporting only
Designed exclusively for operational denial analysis — never patient charts.
Secure cloud architecture
TLS 1.3 in transit, AES-256 at rest, scoped IAM, full audit log of every upload.
HIPAA-conscious workflow
Engineered to keep teams on the right side of HIPAA — by removing the surface area entirely.
Role-based access controls
Granular RBAC with SSO support. View, analyst, and admin roles map to your existing org chart.
Encrypted data processing
Workloads run in isolated tenants with key-scoped encryption — your data never co-mingles with another customer's.
Zero EHR coupling
No connectors. No clinical-system queries. No production access risk to your patient systems.
Disclaimer: Revenue Cycle IQ is an upload-based denial analytics platform. It is not an EHR integration platform, does not connect to live patient systems, and does not accept PHI. Files with patient identifiers are automatically rejected.
Flexible Pricing For Every Organization.
Zero-PHI architecture on every tier. Typical ROI: 12–18× within the first quarter.
Starter
For single-site practices and clinics
- Up to 2,500 denials / month
- Top-5 denial driver analytics
- AI appeal recommendations (50/mo)
- Email support
- 1 Monthly RCM Consulting HourMonthly denial & KPI guidance session
- Zero-PHI architecture
Professional
For multi-site providers & MSOs
- Up to 25,000 denials / month
- Full root-cause analytics
- Unlimited AI appeal recommendations
- Payor scorecards + executive PDFs
- 5 user seats · priority support
- 3 Monthly RCM Consulting Hours
- Monthly KPI & denial strategy review
Enterprise
For health systems, MSOs & enterprise RCM teams
- Unlimited denial intelligence analysis
- Enterprise-wide dashboard access
- Executive-level RCM operational assessments
- Dedicated RCM consulting & operational advisory
- Monthly executive strategy sessions
- Workflow optimization & denial reduction planning
- Custom KPI scorecards & executive summaries
- Priority onboarding & strategic support
Additional consulting/advisory hours available upon request.
Questions, Answered.
Turn Revenue Cycle Data Into Actionable Intelligence.
Reduce denials. Improve visibility. Drive smarter operational decisions.
Schedule a 20-minute walkthrough on your data — or start a free trial and have your first executive denial brief by tomorrow.
See Your Own Denial Data — Without Giving Us A Drop Of PHI.
Tell us about your organization and we'll walk you through the dashboard with a de-identified sample of your data. You'll leave with a sized estimate of your recoverable revenue.
- Zero PHI required. PHI-containing files auto-rejected.
- Built for multi-specialty revenue cycle teams.
- Walk away with a recoverable-revenue estimate.