Stop Writing Off Denials That Can Be Recovered Automatically

Our AI automatically identifies, fixes and resubmits health insurance claims denials at scale

Get a Denials Analysis
Get a Denials Analysis
Dashboard of Red Sky Health's denial management software showing denial rate statistics, trend graph, and alerts for denial alerts, Red Sky AI insights, and tracking features. An illustration of a person in red jacket looking at a tablet stands in front of the dashboard, with decorative plants on either side.

Most Denial Reporting Understates Real Loss

The challenge is not just the volume of denials. It is the lack of visibility into how denials are actually performing.

To understand the full picture of your denial performance, Red Sky Health offers a free Denials Analysis.

Your End-to-End Denials Remediation Platform

‍ ‍One end-to-end denials platform — built to identify, correct and resubmit 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.

Healthcare Providers - Are Insurance Claims Denials a Challenge?
Meet Daniel - Our AI Denials Remediation Platform

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

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

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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

You May Already Be Writing Off Recoverable Revenue

Many losses hide inside partially paid claims, line-item denials, and write-offs no one sees clearly. We uncover and recover them.

Get a Complimentary Denials Analysis
Get a Complimentary Denials Analysis

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