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Meet Adam
AI Denial Manager
Transform Your Revenue Cycle Management with Advanced AI Denial Management Solution
Adam is the most sophisticated and trusted AI denial management solution that automates RCM denial processing, revenue recovery and A/R Follow-ups.
Automated Denial and Root Cause Analysis
Adam AI denial management solution instantly checks every claim status, identifying denial patterns and root causes across denial codes. Adam automatically categorizes denials by:
- Clinical documentation issues
- Authorization and eligibility problems
- Coding and billing errors
- Payer-specific requirements
Customizable A/R Follow-ups Workflows
Adam creates customized A/R Follow-up workflow which has capabilities to perform tasks such as:
- AI-driven calls to payers, navigating IVRs and live agents to retrieve status updates and resolve denials
- Record calls, create call summaries and recommends next steps to resolve the denial
- Tracking appeal deadlines and submission status
Intelligent Denials Prioritization
Adam maintains an up-to-date database of payer-specific rules, requirements, and denials to ensure:
- Priority rules incorporation (by age, dollar value, payer, etc.), so that high-yield claims are worked first
- Create payer scorecards to intelligently manage denial causes and use predictive analytics for prevention
- Utilize customization in call scripts to tailor the conversation flow and navigate IVRs to resolve denials.
Results we’re proud of
AI Denials Management vs Traditional Approaches
Processing time
30 minutes average
3-7 days average
Appeal success rate
95%+ with AI generated appeals
50-70%
Denial prevention
75%+ preventable denials stopped
Reactive process only
Payer rule updates
Real-time automated updates
Manual policy tracking
Revenue recovery
15% increase in collections
Limited recovery tracking
Why Healthcare leaders choose AI Denial Management
- Average healthcare organization loses $5M+ annually to preventable denials.
- 76% of providers report increasing claim denial rates year-over-year.
- Only 62% of denied claims are ever resubmitted or appealed.
- AI denial management solutions reduce processing costs by 60-80%.
Adam stands apart from traditional AI solutions by prioritizing precision, accountability, and measurable revenue recovery outcomes in denial management.
Explainability
How is explainability in denial management? Adam provides detailed explanations for every denial analysis decision, showing which denial codes triggered specific actions, what patterns influenced appeal strategies, etc..
Human-in-the-loop
How does human-AI collaboration work? Adam's denial management system integrates seamlessly with your existing workflow, proactively flagging complex denials that require human expertise, providing intelligent case prioritization.
Continuous learning
What is continuous learning in AI? Adam automatically updates denial trend analysis based on emerging payer patterns, maintaining compliance with requirements across Medicare, Medicaid, and commercial payers.
Reduce your denials with AI today
Ready to experience the future of AI-powered denial management? Schedule a call with our experts to learn how we can help you drive real results and increase collections.
Join hundreds of healthcare providers revolutionizing their revenue with Adam - AI Denial Management solution.
