Aiclaim powers providers and payers with AI-driven claim intelligence—before and after submission.
Denial Rate Calculator helps healthcare providers estimate potential savings from denied claims. Input key metrics to calculate reimbursements and labor costs that can be recovered monthly.
Our advanced platform supports every stakeholder in reducing denials, improving compliance, and accelerating reimbursements.
For Providers & Billing Teams
Eliminate avoidable denials at the source with AI-driven autocoding, claim scrubbing, and smart edits before claims hit the clearinghouse.
Up to 80% of denials prevented pre-submission
Save time, reduce rework, and improve first-pass acceptance by preventing errors early in the claim lifecycle.
For Provider Organizations & RCM Teams
Leverage AI to analyze denial codes, detect patterns, and recommend appeal strategies to drive faster resolution and reduce recurring issues.
Reduce A/R Days & Boost Claim Acceptance
Supercharge your billing team's performance and recover revenue more efficiently with actionable insights and automation.
For Insurance Carriers & Risk-Bearing Entities
Identify denial-prone claims and medical necessity gaps early. Use AI to guide adjudication decisions and reduce administrative overhead.
Smarter Decisions, Not More Denials
Enable proactive risk scoring and documentation alignment—supporting fair, fast decisions across the ecosystem.
Upload claims, let AI analyze intelligently, and take confident action. Here's how it flows.
Send claims via API, EDI, or Portal—your workflow, your choice.
Detects denials, flags risks, and predicts outcomes accurately.
Fix issues, appeal denials, and optimize future submissions.
Fewer denials, faster payments, and smarter decisions at every step.
We support providers and payers in streamlining billing, claims, and compliance workflows to improve efficiency and ensure accurate reimbursement across diverse healthcare models.
| Whom | Segment | Use Case |
|---|---|---|
| For Providers | Multi-provider practices | Streamline complex billing across multiple specialties and providers with our unified platform. |
| Urgent care & outpatient clinics | Optimize high-volume, fast-turnaround claims processing when every minute counts. | |
| Membership & concierge models | Ensure proper reimbursement in hybrid payment environments with unique billing requirements. | |
| Value-based care groups | Navigate the complex intersection of fee-for-service and value-based care documentation. | |
| For Payers | Commercial insurance teams | Improve efficiency in claims review while maintaining accuracy and compliance standards. |
| Medicare Advantage plan administrators | Ensure proper documentation and compliance with complex CMS requirements. | |
| Pre-auth and adjudication departments | Streamline workflows by identifying high-priority claims requiring additional review. |
“AiClaim isn’t here to create friction—we’re here to bring transparency and efficiency
to both sides of the revenue cycle.”
“Better data = better outcomes. We support compliance, medical necessity, and accurate reimbursement across the board.”
- AICLAIM , CEO , Rushabh Tolia
Whether you're submitting claims or reviewing them, we're here to help you get it right the first time
Get early access to ClearClaim and start preventing claim denials
before they happen. Join our Alpha program today with 50 free claims included.
Revolutionizing healthcare revenue cycle management with AI-powered claim denial prediction.
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