The revenue cycle automation platform built for hospital revenue teams.
DenialOS runs eligibility verification, financial clearance, charge capture, claims, denial management, appeal drafting, payer follow-up and outcome recording as one governed system of record for hospital health systems — FHIR R4 connector foundations, governed AI, and human oversight at every step.
Eligibility & Clearance
Verify patient eligibility and financial clearance at point of service, and validate charges before claims go out. Stop denials before they happen.
Denials & Appeals
Intake denials from EOBs and 835s into structured cases. AI drafts appeal language from clinical context, denial codes, and payer rules — human review required.
Deadline Governance
Canonical filing windows computed by payer, plan, and state. The work queue orders itself by deadline risk.
Revenue Recovery
Track denial recovery rates by type, payer, and facility. Feed outcomes back into pattern analysis.
Workflow Automation
Automate intake, case creation, task assignment, and payer follow-up logging across the revenue cycle.
Governed AI
Every AI-assisted action requires human review. Automate drafting, not decisions.
From patient registration to verified outcome.
DenialOS covers the entire revenue cycle: eligibility, financial clearance, charge capture, claims submission, denial management, appeal drafting, payer follow-up, and outcome recording. One platform, one audit trail.
FHIR R4 connector foundations configured per hospital. Live tenant connectivity is unvalidated pending credentials and customer UAT.
Automate repetitive drafting and logging tasks. Humans make the decisions.
CFO-ready dashboards show recovery rates, denial patterns, and payer trends in real time.
Tenant isolation, audit logging, and role-based access protect patient data.