The denied claims everyone else writes off
Avicenna Care recovers the denials and underpayments your biller runs out of time to fight — on contingency, behind your existing team.
Avicenna Care works the claims
your team runs out of time to fight
WorkqueuesAll payors
AetnaFollow-up$487K
BCBS DenialsAppeal$348K
UHC AppealsIn review$262K
CignaPaid$164K
AYou pay only on what we recover
Second-pass recovery
The denials and underpayments your biller can't get to
Avicenna Care works the claims that get touched once and abandoned — denials, underpayments, and aging AR — behind your existing biller.
AFirst-touch automation
Auto follow-up on aging claims
Resubmit corrected claims
Payor status checks
Escalate to specialist
First-touch automation
Offload repetitive payor workflows
Status checks, follow-ups, and resubmissions run automatically, so your team spends its hours only on the claims that need real judgment.
CLM-8451264Denied · CO-97
AI-drafted appeal
Service is not bundled per NCCI edits. Attaching documentation supporting separate reimbursement under modifier 59…
AI AgentSpecialist reviewAppeal filed
Complex denial resolution
Bring real firepower to the hardest claims
AI drafts the appeal and hunts the supporting evidence inside the payer's own portal; a human reviews and signs off before anything is filed.
Your workflow, your rules
High-value claimsPriority
Aging > 90 daysPriority
Timely-filing riskPriority
AMapped to your SOPs
Configurable workflows
Adapt to how your organization already works
We map your payor priorities, deadlines, and SOPs into the system and work within them. You set the rules; nothing leaves without approval.
The rules of revenue cycle, rewritten
15%
of claims are denied on first submission (industry average)
15%Denials are the norm, not the exception
Around one in seven claims comes back denied — and underpayments hide inside many of the ones that do get paid.
54%Most denials are winnable
The question was never whether a denial can be overturned. It's whether anyone has the hours to fight it.
65%The tail gets written off
When an appeal costs more in staff time than a small claim returns, it gets abandoned. That's the revenue we go after.
365Deadlines are money
Claims that age past the timely-filing deadline are written off forever. We track every one so none of yours expire.
AI-native collections,
human-approved
Collections that keep moving
Complete visibility
Consistent execution
Ownership through resolution
Claim activityExample
CLM-4821Appeal filed2m ago
CLM-7742Paid5m ago
CLM-3391Follow-up8m ago
Each claim worked end-to-end, human-approved
Open A/R
$2.4M
tracked
In appeal
38
claims
Avg age
32d
A/R
CLM-7267389$4,200Paid
CLM-6488653$1,250Aging
Denials workflowRunning
Eligibility verified
Coding reviewed
Appeal packet built
Submitted to payor
Every step logged, every claim worked the same way
CLM-682475Paid · $8,248.00
Owned
Worked
Resolved
Accountable through to outcomeAI agents work claims end-to-end, while a human reviewer provides oversight and steps in on the hardest denials and escalations.
Every interaction, update, and decision is captured and summarized so teams always know the status of their collections activity.
Workflows run reliably across claims, reducing the operational variability that often slows collections — whether following your existing SOPs or proven best-practice workflows.
Claims aren’t just worked. They’re pursued through to outcome, with clear accountability for results.
Claim activityExample
CLM-4821Appeal filed2m ago
CLM-7742Paid5m ago
CLM-3391Follow-up8m ago
Each claim worked end-to-end, human-approvedCollections that keep moving
AI agents work claims end-to-end, while a human reviewer provides oversight and steps in on the hardest denials and escalations.
Open A/R
$2.4M
tracked
In appeal
38
claims
Avg age
32d
A/R
CLM-7267389$4,200Paid
CLM-6488653$1,250Aging
Complete visibility
Every interaction, update, and decision is captured and summarized so teams always know the status of their collections activity.
Denials workflowRunning
Eligibility verified
Coding reviewed
Appeal packet built
Submitted to payor
Every step logged, every claim worked the same way
Consistent execution
Workflows run reliably across claims, reducing the operational variability that often slows collections — whether following your existing SOPs or proven best-practice workflows.
CLM-682475Paid · $8,248.00
Owned
Worked
Resolved
Accountable through to outcomeOwnership through resolution
Claims aren’t just worked. They’re pursued through to outcome, with clear accountability for results.
What if claims actually kept moving?
Connect your systemsSecure sync
E Connected
Epic
EHR
a Connected
athenahealth
Practice management
A Connected
Availity
Clearinghouse
Avicenna CareLiveWhere claims get organized, prioritized, and progressed
Intelligence & insights
Analytics identify patterns across payors, denials, and workflows to help teams uncover root causes, improve processes, and recover more revenue.
Structured workqueues
Claims are automatically categorized and prioritized so the highest-impact work gets attention first.
Unified financial data
Avicenna Care connects claims, payor interactions, and collections activity into a single system
Works alongside your everyday workflows
eClinicalWorks
athenahealth
NextGen
Epic
ModMed
Dentrix