Revenue Integrity Redefined

Stop losing money to preventable claim denials.

Up to 15% of hospital claims are denied on first submission. Most are never re-filed. ClearClaim catches errors before submission, predicts denial risk on every claim, and auto-files appeals — recovering revenue your team would have written off.

Live Engine Status
description Clinical Note Input
Processing...
99.8%
Coding Accuracy
-$1.2M
Recovered Leakage

Three AI agents. One clean revenue pipeline.

Most hospitals have separate tools for coding, denial management, and appeals. ClearClaim unifies all three into one AI-powered system — so revenue doesn't fall through the gaps.

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AI Medical Coder

Advanced NLP translates nuanced clinical intent into precise ICD-10 and CPT codes without human intervention.

Core Capability
troubleshoot

AI Denial Predictor

Scans every claim against proprietary payer-specific logic to flag issues before they ever leave your clearinghouse.

Risk Management
currency_exchange

AI Revenue Recovery

The final layer of defense, automating the identification and recovery of underpaid or wrongly denied accounts.

Financial Performance
01. Intelligent Extraction

Real-Time Coding Alignment

Stop waiting for post-encounter reviews. AI Workforce for Revenue Growth extracts diagnoses and procedures directly from clinical notes in real-time, highlighting potential gaps while the physician is still focused on the patient.

  • check_circle Automatic CPT/ICD-10 suggestion engine
  • check_circle Direct EHR integration via FHIR protocols
EHR Intake Validator - Note #8492
LIVE ENGINE
Clinical Documentation
Patient presents with acute chest pain...
ECG indicates ST-segment elevation...
Initiated emergency PCI protocol.
Lines: 3 UTF-8
Extracted Codes
ICD-10 Code R07.9
Chest Pain, Unsp.
ICD-10 Code I21.09
Anterosept. STEMI
CPT Code 92928
Coronary PCI
Validated 100%
02. Predictive Guardrails

Predictive Guardrails Against Denials

Before a claim is submitted, ClearClaim runs it against payer-specific logic and flags any issues — missing modifiers, upcoding risks, prior auth gaps. Your RCM team sees a prioritised alert, not a denial letter two months later.

Risk Vector Analysis High Risk

"Missing modifier 25 based on payer policy update as of Jan 12th."

description
Encounter
memory
verified
Clean Claim

The financial impact — in numbers.

By removing the manual heavy lifting of revenue cycle management, we empower your team to focus on high-value exceptions rather than routine processing.

70%

Appeal Reduction

Reduction in time spent on manual appeal letter preparation and clinical evidence gathering.

98%

First-Pass Acceptance

The industry benchmark for organizations utilizing our proactive denial prevention engine.

Financial Health Score

Days in A/R -12 Days
Net Collection Ratio +4.2%
Enterprise ROI: 11x
A S Pillai
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"Tulu Health is building an intelligent AI-agent platform for Revenue Cycle Management, addressing one of the most critical levers for hospital sustainability — improving cash flows, reducing revenue leakage, and bringing predictability to financial performance."

A S Pillai
Group CFO, Burjeel Hospitals, UAE
70%
Appeal time saved
98%
First-pass acceptance
11x
Enterprise ROI
-12
Days in A/R

Ready to stop leaving money on the table?

Every denied claim that gets re-filed recovers revenue. Every approval on first submission saves time. ClearClaim makes both happen automatically.