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Claim Denial Management

Insurance & Billing
Cevi AI Agents Workflows Background
Real-Time SyncMulti-PayerError Prevention

Automated Claim Denial Management & Recovery

Automate the identification, categorization, and resolution of claim denials.

148+
Integrations
4
Connected Agents
24/7
Availability

No-code AI automation

HIPAA, GDPR, and SOC 2 compliant

Visual workflow builder

Full audit trails and access controls

300+ apps, 50+ EHR integrations

Free pilot available

How Claim Denial Management Works

1
ERA received — AI identifies 5 denied claims across 3 payers
2
Each denial categorized: 2 coding errors, 1 missing auth, 1 timely filing, 1 medical necessity
3
Coding errors: AI corrects codes and resubmits automatically
4
Missing auth: AI locates retroactive auth option and submits request
5
Medical necessity: AI compiles clinical notes and generates appeal letter
Dashboard updated with denial resolution status and recovered revenue tracking

Integration capabilities

Cevi can read 6 data types and write 5 data types for Claim Denial Management

ERA/835 remittance data
read
denial reason codes
read
original claims
read
clinical documentation
read
payer policies
read
denial history patterns
read
Corrected claims
write
appeal letters
write
resubmitted claims
write
denial status updates
write
trend analysis reports
write

Join hundreds of medical practices automating their operational workflows with Cevi

Join hundreds of medical practices automating their operational workflows with Cevi

Build your Claim Denial Management automation with AI

Describe what you want in plain English. Cevi’s AI builds the workflow.

Frequently asked questions about Claim Denial Management

Typically 40-60% of denials can be automatically corrected and resubmitted without staff intervention.
The AI uses payer-specific appeal templates, populates them with relevant clinical documentation and medical necessity justifications from the patient's record.

Connected agents & workflows

this workflow connects to 4 other Cevi agents for end-to-end automation

Ready to automate your practice?

BAA on all plans
SOC2 Type II security
HIPAA compliant
99.9% uptime SLA
HIPAACOMPLIANT
SOC 2TYPE II