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Denials 360 | AI-Powered Revenue Recovery Platform

Stop Guessing Denials.
Start Fixing Them.

Discover, analyze, and triage denials with AI, so RCM teams know exactly what to work on, why it failed, and what to do next.

50%
fewer denials
5x
faster appeals
76%
appeal win rate
Claims at Risk
23
โ†“ 67% from last week
Auto-Appeals Sent
147
76% success rate
Revenue Protected $847,230
โœ“
Appeal Approved
$12,450 recovered โ€ข Aetna

US healthcare loses $262B to denials every year

Payers use AI to find reasons to deny. Your team reviews each one by hand. The math doesn't work.

๐Ÿ“ˆ

Denial rates keep climbing

Payers invest millions in denial AI. Your team can't keep up with manual reviews.

20%
increase in 3 years
โฑ๏ธ

Appeals eat up staff time

45 minutes per appeal. Most teams only appeal high-dollar claims. Money left behind.

45 min
per appeal average
๐Ÿ”„

Policy changes break workflows

Payers update policies constantly. Hours of manual research just to stay current.

Weekly
policy updates

Everything your RCM team needs in one place

Prevent denials, recover revenue, and automate the busywork โ€” all from a single platform.

๐Ÿ“Š

Denials 360

Real-time Intelligence

Smart dashboards that show every claim, every denial, every dollar at risk. AI prioritizes what matters most.

Real-time claim tracking
AI-powered prioritization
Automated triage workflows
โœ๏ธ

Smart Appeals

AI-Powered Automation

One-click appeal generation. Complete, payer-specific letters in seconds with 76% success rate.

Payer-specific templates
Auto-attached documentation
Outcome tracking & learning
๐Ÿค–

Healthcare Agents

AI-Powered Agents

Specialized AI agents that handle prior auth checks, coding validation, clinical reviews, and claim analysis around the clock.

Prior Auth Agent
Appeals Agent
Works 24/7, no added headcount
END-TO-END DENIAL MANAGEMENT

One platform. Every step covered.

From prevention to recovery, DataRovers handles the complete denial lifecycle.

Catch denials before they happen

Our AI flags high-risk claims before submission. You fix issues upfront instead of chasing appeals later.

47% fewer denials on average
๐Ÿ”ฎ
Predict Dashboard

Work the right claims first

AI prioritizes your queue by recovery potential, deadline urgency, and payer behavior patterns.

3.2x faster claim resolution
๐ŸŽฏ
Triage Dashboard

Generate appeals in seconds

Click a denied claim. Get a complete, payer-specific appeal letter with supporting documentation.

76% appeal success rate
โœ๏ธ
Appeal Dashboard

See everything in real-time

Live dashboards show every claim, every denial, every dollar at risk. Know exactly where you stand.

$0 revenue left in the dark
๐Ÿ“Š
Track Dashboard

Get smarter with every claim

The platform learns from your outcomes. Your playbook builds itself.

โˆž continuous improvement
๐Ÿง 
Learn Dashboard
THE DATAROVERS DIFFERENCE

Built for teams who refuse to accept
"that's just how it is"

Every denial is preventable. Every appeal is winnable. Here's how we make it happen.

Challenge
๐Ÿ“ˆ

Denials keep climbing

Payers use AI to find reasons to deny. Your team reviews each one by hand. The math doesn't workโ€”denial rates have increased 20% in 3 years.

Solution
โšก

Real-time command center

See every claim, every denial, every dollar at risk. Live. AI flags high-risk claims before submission.

47% fewer denials on average
Solution
โœ๏ธ

One-click appeals

Click a denied claim. Get a complete, payer-specific appeal letter. Done in 2 minutes instead of 45.

5x faster appeal generation
Challenge
โฑ๏ธ

Appeals eat up staff time

The average appeal takes 45 minutes. Most teams only appeal high-dollar claims. You're leaving money on the table.

Solution
โœ๏ธ

One-click appeals

Click a denied claim. Get a complete, payer-specific appeal letter. Done in 2 minutes instead of 45.

5x faster appeal generation
Challenge
๐Ÿ”„

Policy changes break workflows

Payers update policies constantly. Staying current means hours of manual research every week.

Solution
๐ŸŽฏ

Policies sync overnight

We track payer policy changes. Your workflows update automatically. Zero manual research.

$0 spent on policy research
๐Ÿš€

Your first 30 days

From setup to full automation

Week 1

Platform connects to your PM system. Historical data analysis begins.

Week 2

AI learns your payer patterns. Smart triage goes live.

Week 3

Auto-appeals start running. Team sees first efficiency gains.

Week 4

Full automation active. Your team focuses on what needs human judgment.

See your potential revenue impact

Health systems using DataRovers recover an average of $2.1M annually.

๐Ÿ“‰
50%
Denial Rate Reduction
Before
14%
โ†’
After
7%
โšก
5x
Faster Appeal Processing
Before
45 min
โ†’
After
9 min
โœ“
76%
Appeal Success Rate
Before
45%
โ†’
After
76%

Revenue Recovery Journey

$180K
Month 1
Initial setup
$520K
Month 3
Full automation
$1.1M
Month 6
Optimized
$2.1M
Month 12
Total recovered

Works with your existing stack

Connects to Epic, Cerner, and all major PM systems. Setup in days.

๐Ÿฅ
Epic
๐Ÿฅ
Cerner
๐Ÿฅ
Athena
๐Ÿฅ
Meditech
Real-time sync
HIPAA compliant
Zero downtime deploy

Trusted by leading health systems

"
We recovered $2.3 million in the first quarter. Our denial rate dropped from 14% to 3%. I genuinely don't know how we operated before this.
SK
Sarah Kim
Director of Revenue Cycle
$2.3M
Recovered Q1
14% โ†’ 3%
Denial rate
< 90 days
Time to ROI

Real results from real teams

What happens when RCM teams get the tools they actually need.

50%
Reduction in denial rate
Average across customers
76%
Appeal success rate
vs. 45% industry avg
5x
Faster appeal generation
2 min vs 45 min
$2.1M
Revenue recovered
Average per system

Who thrives with DataRovers?

Teams ready to stop accepting denial rates as inevitable.

๐Ÿฅ

Health Systems

Multi-facility organizations standardizing denial management at scale.

200+ facilities served
๐Ÿข

RCM Companies

Revenue cycle firms delivering better client results with less manual work.

15M+ claims processed
โš•๏ธ

Large Practices

Physician groups tired of leaving money on the table.

$847K avg. recovered

Common questions

Quick answers to help you get started

How long does implementation take?

Most teams are fully operational within 2-4 weeks. We handle integration, training, and support.

What systems do you integrate with?

Epic, Cerner, Athena, eClinicalWorks, NextGen, Meditech, and more. Contact us if yours isn't listed.

How does AI generate appeals?

Our AI analyzes denial reasons, patient records, payer policies, and historical success patterns to create tailored letters.

Is patient data secure?

Yes. HIPAA compliant with SOC 2 Type II certification. All data encrypted. Never used to train models for other customers.

What results can we expect?

Most customers see 40-60% reduction in denial rates and 76%+ appeal success. Results vary by starting point.

Ready to stop leaving money on the table?

See how much revenue you're losing to preventable denials. We'll show you in 30 minutes.