Denial Summary
See denied value, root causes and what remains realistically recoverable after rework cost.
Healthcare Denial Intelligence & Decision Support
Turn denial data into
evidence for action.
Connect claims, remittances, enrollment, eligibility and authorization data to investigate why revenue was denied, prioritize what needs attention and identify patterns that point to prevention opportunities.
Synthetic demonstration data only. No PHI, uploads or login. Use “Explain this page” inside the demo for short optional audio guidance.
What it helps you do
Move from a denial code to the evidence behind it.
A denial code tells only part of the story. DenialIntel brings related transaction evidence together where available and turns it into focused investigation and action.
Eligibility Check
Check eligibility denials against enrollment coverage on the date of service and surface cases that merit review.
Priority Worklist
Focus open denials by urgency and net recoverable value, with a recommended action for review.
Patient Analytics
Read the same denial from different role perspectives and follow the supporting enrollment, eligibility, authorization, claim and remittance evidence where available.
Rates & Trends
Review denial rates by count and value, payer adjudication time and changes over time.
Executive BI
Management-level views of payer performance, root causes, ageing, statistics, ML signals and appeal evidence.
Optional AI — AI Insight and Ask AI explain aggregated management figures; AI Deep Dive – Patient explains one denied case from established evidence. Live AI is disabled in the public demo; pre-generated synthetic examples are provided.
Explore the demo (opens in a new tab) More about the product
How it works
Four steps. The detail stays in the application.
834 Enrollment → 270/271 Eligibility → 278 Authorization → 837 Claim → 835 Remittance
Related transaction records are connected where available. They are separate records, not a single processing pipeline.
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Connect
Bring related evidence together around the denial.
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Establish
Use deterministic processing and business rules to establish the facts.
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Prioritize
Rank open denials by urgency and net recoverable value, while setting aside closed appeal windows and cases not worth the cost of working.
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Explain
Use optional AI to explain established evidence after the facts and analytical signals are available.
Public demo
Explore safely with synthetic data.
- Synthetic demonstration data only
- No PHI entry or public file uploads
- Read-only visitor experience; no login required
- Core analytics work without live AI
- Operational and financial decision support
- Not clinical decision support
Production deployment, security controls, data handling and integration requirements would be defined separately for an approved pilot or enterprise implementation. No claim of HIPAA compliance is made for this public demonstration. Security & data
See it in action
Explore DenialIntel with synthetic data.
Open the live demonstration, use the short page explanations, and see how denial evidence moves from investigation to prioritized action.