ClaimPaid hunts down every denied dollar — smart worklists, auto-generated appeal letters, and an AI that knows every payer's policy by heart. Built by someone who's worked denials, not a SaaS team guessing at healthcare.
You did the work. You saw the patient. Then a payer keeps the money over a missing modifier or a 90-day clock you never saw coming. Every denial left unworked is a write-off you chose.
The tightest commercial window in the industry. Miss it by a day and the claim is dead — you can't even bill the patient. ClaimPaid's filing radar flags these before they expire.
The most painful denial code in billing. Entirely preventable, completely unrecoverable without proof of submission. ClaimPaid tracks every deadline per payer, automatically.
An appeal sitting untouched for three weeks is an appeal you've forgotten. ClaimPaid auto-escalates stale appeals and nudges your team on the right cadence.
Not another dashboard to glance at. A work engine your billers open every morning — prioritized, drafted, and tracked to paid.
Every claim, appeal, and follow-up scored by dollars at stake and days until the filing deadline dies. Your team stops guessing what to work first. 78 items, $366k at stake — sorted before coffee.
Open → in progress → submitted → won. Win an appeal and the claim auto-marks paid. Nothing falls through.
One click generates a payer-ready appeal letter for 8 denial categories — with your letterhead, signature block, and the right argument for the denial code.
Per-payer deadlines (UHC 90d, Aetna 120d, Cigna 180d…) tracked against every open claim. Red alerts before revenue becomes unrecoverable.
Catch coding errors, missing modifiers, and eligibility gaps before the claim leaves the building — not after the denial lands.
A full AI tab plus a floating quick-chat inside the platform. Ask "What's UHC's timely filing limit?" mid-appeal — get the cited answer instantly.
Drop in remittance files — payments auto-post, CAS denial codes auto-parse and link straight into appeals. Export clean 837P claims out.
Prior-auth pipeline with expiration countdowns, denial-to-auth cross-links, and eligibility checks that stop CO-50s before they happen.
Five exportable reports, denial-pattern analytics by payer × reason, and a living playbook of what actually wins against each payer.
"What's UnitedHealthcare's timely filing limit?" — answered in seconds, with the policy cited. Trained on payer manuals, appeal windows, and denial codes. It even crawls payer sites so it stays current.
Drop in payer PDFs, import policy URLs, or point it at a sitemap — it ingests, chunks, and embeds everything automatically.
Autopilot re-crawls your sources every 6 hours. New policy published? The AI knows before your team does.
Every unanswered question lands in an Insights queue. Teach it once — it answers with a citation forever after.
Full tab + floating quick-chat. No tab-switching, no copy-paste — policy answers where the work happens.
No six-month implementation. No consultants. Your billing operation, upgraded.
Bring your open AR — CSV, 835 files, or manual entry. ClaimPaid scores everything by dollars at stake and filing-deadline urgency. Day one, your team knows exactly what to work.
Open My Work each morning: prioritized follow-ups, one-click appeal letters, auth tracking, and the AI one tap away for any policy question. Denials move through the pipeline to won.
Won appeals auto-mark claims paid. Reports show win rates by payer and reason. The playbook learns what beats each payer — and your whole team benefits.
Real workflows, real recoveries. Here's what happens when denials get worked instead of written off.
We recovered $18,400 in the first month just working the smart list. The timely-filing alerts alone paid for the whole year.
The appeal letters write themselves. My billers went from dreading denials to clearing them same-day. Our win rate is up 31%.
I asked the AI about a UHC bundling denial mid-appeal and had the policy cited in ten seconds. That's the whole product right there.
Representative results from private beta workflows. Individual results vary by payer mix and AR age.
One recovered $5,000 claim covers months of ClaimPaid. Simple tiers, no per-claim fees, cancel anytime.
ClaimPaid is revenue cycle management (RCM) software for medical billing teams. It tracks denied claims through a structured appeal pipeline, auto-generates payer-specific appeal letters, monitors timely-filing deadlines, scrubs claims before submission, and includes a private AI assistant that answers payer-policy questions with citations.
Three things: it's built by someone who has actually worked claim denials (not a generic SaaS team); the AI assistant is private — your documents never go to OpenAI or any third-party API; and pricing is flat ($199–$499/mo) with zero per-claim fees, so it pays for itself with a single won appeal.
RCM Starter is $199/month, RCM Pro + AI is $499/month, and ClaimPaid AI standalone (just the document AI) is $99/month. Enterprise is custom. Every paid plan starts with a 1-month free trial.
Yes. It drafts payer-specific appeal letters from the denial reason code using 8 built-in templates (timely filing, medical necessity, authorization, coding, eligibility, duplicate, bundling, experimental), plus custom templates per organization — so each letter matches your payer contracts and tone.
Major US payers out of the box: Aetna (120 days), Cigna (180), UnitedHealthcare (90), Anthem BCBS (180), Medicare (365), NY Medicaid (90), and Humana (180) — with custom payers and deadlines configurable per organization.
ClaimPaid AI runs its language model on private infrastructure. Your documents are chunked, embedded, and queried entirely inside that infrastructure — nothing is sent to OpenAI, Google, or any third-party AI API. Each organization's data is fully isolated.
Most teams are live within 24 hours. There's no implementation project — sign up, invite your billers, import or enter claims, and the worklists start prioritizing by dollar impact and deadline.
Yes. ClaimPaid AI is available as a standalone $99/month plan at claimpaid.io/ai/ — upload any documents (policies, contracts, manuals), ask questions in plain language, and get cited answers. RCM Pro customers get it included with one shared login.
Every week you wait, timely-filing clocks run out and appeal windows close. ClaimPaid is live in a day — start recovering what's yours.
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