Start with a pilot.
Scale with proof.
Pricing starts with a 90-day pilot of the live platform, then grows with your facilities and the connections you switch on. Every tier runs the same governed record — audit trail, human-reviewed AI, deadline authority. Final scope, EHR connections, and support terms are always confirmed before activation.
Hospitals and RCM teams that want to validate DenialOS on their own denials before committing to a full deployment
Runs on your production data — the Business Associate Agreement is executed digitally during onboarding, before any data is processed. Live capabilities only — external connections stay off throughout the pilot.
- Denial intake from remittance and document uploads — cases created, matched, and pre-classified automatically
- Canonical deadline tracking with email reminders and conflict flags
- Evidence acceptance and sealed evidence manifests
- AI-assisted drafting with human review required on every output
- Work queue, assignments, and outcome recording
- Payer knowledge, policy proofs, and denial patterns built from your own recorded outcomes
- Append-only audit trail and operational observability
- Up to 10 user seats
- Founder-guided onboarding and weekly working sessions during the pilot
Single-facility hospitals standardizing denial operations on one governed record
EHR connector activation is a separate, joint project — validated and approved before anything is switched on.
- Everything in Pilot
- Governed eligibility, prior authorization, charge coding & CDI, and financial clearance workflows
- Claims lifecycle preparation and payment-integrity analysis
- Payer intelligence and outcome learning across your facility
- Analytics for RCM leadership and CFO reporting
- Business Associate Agreement executed digitally before production PHI
- EHR connector activation scoped as a separate project (Epic, Oracle Health, athenahealth)
- Up to 25 user seats
- Standard support (business hours)
Multi-facility health systems and hospital networks requiring payer intelligence across facilities
Multi-facility scope and connector activations confirmed jointly before activation.
- Everything in Systems
- Multi-facility deployment with organization-level tenant isolation
- Payer change radar and payer intelligence across facilities
- Revenue simulation and what-if scenario modeling
- Revenue intelligence graph and CFO-ready dashboards
- AI governance controls and autonomy settings
- SMART Backend Services authorization prepared for payer connectivity — activation is a joint project and live payer connectivity is never enabled by default
- Up to 100 user seats across all facilities
- Priority support (next-business-day response)
Large health systems requiring full lifecycle coverage, custom integrations, and dedicated support
Full scope, migration, implementation, and support defined in the customer agreement.
- Everything in Network
- Full revenue-cycle coverage including patient financial workflows
- Custom integration and connector activation projects
- Migration support from existing RCM systems
- Agent workbench for custom RCM automation workflows
- Dedicated implementation and onboarding
- Custom data retention and compliance terms
- Unlimited user seats
- Support terms defined in your agreement
Revenue impact calculator
Estimate the recovery value DenialOS can generate based on your denial volume and average claim value. All inputs are illustrative — validate against your own measured data.
No evidence-derived assumptions are supplied.
The result excludes implementation cost, staffing, payer behavior, case mix, collection timing, and every factor not entered above. Validate all assumptions against your own measured data.
Ready to scope your deployment?
Schedule a 30-minute scoping call. We will review your EHR environment, payer mix, denial volume, and compliance requirements — and map DenialOS to your exact setup before you sign anything.
Schedule a scoping call