We start here
- Independent imaging and specialty groups (Houston first)
- Commercial + Medicare Advantage medical-necessity and missing-info denials
- Appeal packs a biller can send this week
- Success-fee pricing after a design partner proves recovery
Product · healthcare revenue cycle
Recover denied claims. Own the appeal, not another dashboard.
US providers lost hundreds of billions to denials. Recover classifies the CARC, drafts the payer letter, lists the records to attach, and stops for a biller. Nothing submits until a human approves.
Denial appeals
Outpatient specialty
Human-in-the-loop
Houston first
$262B
US denied claims (2024)
CO-50
First playbook: medical necessity
HITL
Biller signs off before submit
Imaging
Wedge: independent outpatient
The job we own
From ERA denial to a review-ready appeal pack.
Most tools tag a denial or suggest a next step. Recover runs the recovery desk: classify, gather evidence, draft, queue. Paid later on dollars recovered — not seats.
01
Classify
Map CARC/RARC to a playbook — medical necessity, missing info, no auth, coding, timely filing — and score recoverability.
02
Evidence
Checklist of notes, LCD/NCD criteria, auth logs, and corrected-claim fields the biller still has to attach.
03
Draft
Payer-ready appeal language citing the denial code, CPT, diagnoses, and clinical timeline — editable before send.
04
Review
Queue for a human. No portal login, no 837, no patient letter until a biller approves. Audit trail from day one.
Wedge
Outpatient specialty denials first. Not the whole RCM stack.
Not yet
- Health-system EHR takeovers or eligibility/coding engines
- Voice bots calling payer phone trees
- Prior authorization computer-use (later expansion)
- Patient billing, collections, or clinical decision support
Try it
Build an appeal pack from a fictional denial.
● LiveLoad a sample or paste denial text. The demo classifies the CARC, lists evidence, and drafts a letter — then queues it. Fictional claims only. Do not paste real patient records.
Load a sample, then build an appeal pack.
Classification, evidence, and draft steps appear here.
Guardrails
HIPAA from day one. No auto-submit.
Fictional on the public web
This page never stores claims. Production Recover will sit behind a BAA, encryption, access logs, and a dedicated environment — not the marketing site.
Biller is the control plane
Same pattern as our other agents: the model proposes, a human approves. Appeals, corrected claims, and portal actions stay queued until sign-off.
Not clinical advice
Recover drafts administrative appeals from billing and documentation. It does not diagnose, treat, or replace a licensed clinician or certified coder.
First design partners: independent specialty billing leads.
If you run denials for an imaging or specialty group and will share de-identified ERAs under an NDA, we want that working session. Houston-area practices first.