1. What does Red Sky Health do?
We help healthcare providers fix and prevent insurance claim denials using AI. Our platform identifies why denials happen, recommends smart fixes in real time, and learns how to stop them from happening again. You get paid faster, with less stress on your team, and a better ability to focus on your patients.

2. How is Red Sky Health different from my existing revenue cycle tools or clearinghouse?

Most tools react to denials. Red Sky Health fixes them. We use advanced machine learning and Gen AI algorithms to analyze denial patterns and proactively recommend corrections, before your staff wastes time reworking the same issues again and again.  Our platform goes beyond static rule sets, using intelligent models trained on historical and real-time claims data to uncover denial patterns, recommend corrections, and reduce recurring issues across your workflow.

3. Who benefits most from using Red Sky Health?

We support a range of healthcare organizations, from small physician groups to multi-site hospital systems. We serve small practices, specialty groups, and hospital systems alike. Billing teams and revenue cycle leaders love the efficiency. Billing professionals love the visibility. And leadership loves the improved bottom line.  We reduce rework, shorten AR cycles, and improve cash flow.

4. Can Red Sky Health integrate with my existing EHR, PMS, or clearinghouse?

Absolutely. Our solution is designed to work alongside your existing systems. We work seamlessly with EHRs, PM systems, and clearinghouses - no rip-and-replace required.  We support all major platforms and can adapt to your current workflows without requiring a full system overhaul.

5. How does Red Sky Health use AI to improve denial management?

Think of it as a denial expert embedded in your workflow. AI is augmenting your teams to improve their success rates, not replacing them.  Our solution flags high-risk claims, recommends next-best actions, and learns from outcomes.  We are your resource for saving time and reducing human error with denials. Our AI analyzes claims data to pinpoint documentation or coding gaps and recommend specific correction strategies with an accuracy in excess of 90%.

6. What kind of impact can I expect from using Red Sky Health?

Most clients see a 20–40% reduction in denial rates and a significant decrease in days in AR. We help reduce time spent on manual rework, resulting in lower operational costs and better team efficiency. In short, we help you to get the revenue you are owed, with minimal human intervention.

7. Is Red Sky Health only for denied claims, or can it help with first-pass submissions too?

Both. While we excel at denial remediation, our platform also strengthens front-end claim accuracy, flagging risks before submission to improve first-pass yield and minimize downstream revenue leakage.

8. How long does it take to get up and running?

Onboarding typically takes 3–5 weeks, depending on the complexity of your systems and volume. We provide hands-on support and ongoing account management to ensure long-term success.

9. Do I need a technical team to manage this solution?

Not at all. Red Sky Health is designed for healthcare professionals, not engineers. Our team handles the technical heavy lifting while your staff gets clear recommendations and alerts.

10. How secure is the data within your platform?

Security and compliance are foundational to our platform and our focus. We are fully HIPAA and SOC 2 compliant, on the path to be HITRUST compliant, and use industry-leading encryption protocols to ensure your data is protected at all times.

11. What does pricing look like?

Our pricing model is usage-based and tailored to your organization’s size and needs. We’ll work with you to create a cost-effective plan that aligns with your financial goals and volume of claims.

12. Can I see a demo or talk to a current customer?

Absolutely. We’d be happy to walk you through a live demo and connect you with a client to hear how Red Sky Health is making a difference in their revenue cycle operations.

13.  I’m a physician-owner, how does this help me reduce financial leakage without hiring more staff?

Red Sky Health acts like an extension of your billing team. By automating denial remediation and suggesting corrections in real time, we reduce staff burden and help you recover revenue that you should may miss. That means stronger cash flow without needing to grow headcount.

14. We’re focused on care, not coding. Will this distract my team?

Not at all. Red Sky Health is designed to work in the background, alerting your team only when something needs attention. We want to minimize time spent reworking claims and free your staff to focus on patient care and efficient operations, not administrative annoyances.