Automatically Fix Insurance Denials at Scale

Our AI platform is purpose-built to remove  insurance claim denial bottlenecks and restore revenue efficiency for healthcare providers.

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Your End-to-End Denial Remediation Platform

One end-to-end denial platform — built to analyze, manage, and fix denials at scale.

Daniel AI Platform

Comprehensive dashboard tracking denial charges, counts, and remitted amounts across all payers. Monitor sum of denial charges grouped by check issue date and denial reason with real-time updates.

Advanced AI analyzes each denial with complete claim context including coverage validity, benefit plan details, and authorization requirements. Surfaces critical information like ICD-10 codes, procedure codes, and payer-specific coverage limitations instantly.

Centralized state assignment and workflow management for all denials. Track each denial through states like "In Assignment", organize by payer, CPT codes, total billed and allowed amounts, with complete audit trails and team member assignments.

Intelligent claims management dashboard with queue filtering and automated resubmission workflows. View claim lists with facility, patient, payer, and status details. Streamline fixing and resubmission with one-click automation for faster revenue recovery.

Providers - Are Insurance Claims Denials a Challenge?
Meet Daniel - Our Human-Augmented AI platform

machine learning (ML)

Daniel uses a large paid & denied claims dataset along with remittance information as the base for its AI models

large paid & denied claims dataset

Daniel uses this dataset for training its models and testing for better accuracy to remediate future denials

training our algorithms and testing for better accuracy

Daniel uses ML and LLMs to programmatically remediate and re-submit denials in real-time

Customer Testimonials

  • “We’ve been using Red Sky Health’s solution for about 6 months. And while in the early stages of operations, we’ve already seen a big improvement. 

    Using the system, we’ve been able to streamline how claims are processed, getting more accurate submissions and responses, saving significant employee hours.   And using Red Sky has made a huge difference in our claim outcomes.”

    Monica Kent

    American Medical Billing, West Virginia

  • “We've been using Red Sky Health system for about 6 months now. It has helped us to streamline how claims are processed, getting more accurate submissions and responses.

    The system is easy to use and it's allowing us to focus more on patient care and less time is wasted on administrative work.”

    Wendy

    BillPro

  • “As one of the largest primary care practices in our area, we submit a large amount of medical claims to insurance companies daily.  Since using Red Sky Health, we have been able to significantly improve our claims processing and resubmission, which in turn has resulted in a 40 % increase in our overall revenue.

    The accuracy of the claim submission and the responses that we receive back from the system have saved a significant amount of personal hours that we would have used on administrative work and given us more of an opportunity to focus on patient care.”

    Justine

    Delacruz Medical Associates

Ready to Recover More Revenue — Without the Risk?

No hard pitch. Just a conversation on how we can help you recover more, with less stress on your team.

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