01Contract · Policy · Coding
Co-Pilot agents
Understand instantly what each payer contract, policy and code actually allows, before claim submission.
Explore Co-Pilot Payer-trained. Provider-side.
You treat the patient.
You submit the claim.
You follow the rules.
You still get denied.
We are changing that.
Reve is payer-trained revenue-cycle AI for healthcare providers, built by former payer experts and designed to keep providers in control.
PAYER PERSPECTIVE
PROVIDER CONTROL
INDEPENDENT BY DESIGN
The imbalance
Payers have sophisticated,
trained AI. Providers need it too.
Payers use AI to evaluate claims, authorizations, and payment decisions at a scale a revenue-cycle team cannot match manually. Every gap in the rules can become a denial.
Reve by PromptWrx is payer-trained revenue-cycle AI. It reads contracts, payer policies, and coding context through a payer-informed lens while keeping provider independence at the center.
Why PromptWrx exists
Former payer AI experts decided providers needed help to level up.
PromptWrx was founded by former payer claims and authorization experts. After careers on the payer side, they chose to put that expertise to work for providers to ensure appropriate care received appropriate payment.
THE COMPANY
PromptWrx built Reve, revenue-cycle intelligence for providers that is payer informed to drive expedited payments.
About PromptWrxOur impact
Results your board
can evaluate.
20%Lift in approved appeals
80%Reduction in labor
1 hourAppeal turnaround, down from a 30-day average
The Reve solution
One payer lens.
Across the claim.
Reve covers the claim lifecycle, from understanding contracts and authorizations to examining denials and payment questions.
02Authorizations · Scheduling · Claims scrubbing
Pre-submission agents
Bring payer requirements into view before the claim leaves your building.
Explore Pre-submission03Denials · Downcoding · Underpayments
Post-submission agents
Analyze payer decisions and prepare evidence-backed next steps. Your team controls what is sent.
Explore Post-submissionSee the work, stage by stage
From payer decision
to provider review.
Explore a synthetic example of how an appeal takes shape. No claim data is collected here.
Reve / Denial ManagementIllustrative product walkthrough · not a live claim
Start with the payer’s reason.
Reve reads the denial in the context of the claim. The question isn’t just what was denied. It’s how the payer reached that decision.
Denial summary Illustration
Medical necessity denial
A starting point for analysis, not the end of the claim.
- Example reference
- ILLUSTRATION-01
- Payer rationale
- Medical necessity not established
- Next step
- Review policy and evidence
Synthetic example. No patient information or actual claim data.
Explore at your own pace. Select any stage above.Illustrative content only. No outcome or payment is implied.
A practical first step
Start with
100 denials.
100 denied claims
100 submission-ready appeals
With payer-policy and contract-term citations, plus analysis. No integration. The pilot evaluates work product and estimates your recovery and overturn rates.
A signed BAA comes before EDI/PDF transfer over SFTP. Business inquiries only on this website; no patient or claim information. Provider teams decide whether to send.
PromptWrx insights
Expert insight leveling
the payer–provider playing field.
Payers Use AI Technology to Deny Claims. Now Michigan Providers Can Use It to Fight Back
Joyn Health and PromptWrx announced a partnership to help Michigan provider organizations recover revenue lost to denials, underpayments, and increasingly complex payer rules. The collaboration pairs Joyn’s Claims Defender platform with PromptWrx’s Reve AI for Revenue Cycle, which was built by former payer executives who know exactly how provider claims get adjudicated, and denied.
Read insight
Getting Past The Test Drive: Getting RCM AI From Demo To Production
HFMA asked three revenue cycle leaders for the one AI question their peers should be asking. Their answers are the right ones for a health system to ask of itself, but they aren't tough enough to ask of a vendor. Drawing on years of building adjudication AI on the payer side, I lay out seven questions to ask before you sign: paid dollars, current policy, triage, traceability, real oversight, payer fluency and a baseline you own. Because a demo is a test drive on a sunny day.
Read insight
Denials Use the Front Door. Recoupments Use the Back.
Most health systems have gotten good at working denials, but payer recoupments get past those workflows: they show up months or years later as offsets and adjustments on the remit, which a new Becker's whitepaper with SCA Health and Cleveland Clinic leaders calls a hidden margin threat. Having built AI for insurers, the PromptWrx team explains how payers recover money after payment without asking, and why providers often don't notice. The article gives six practical steps, including reading the PLB segment, giving recoupments an owner and citing the policy in effect on the date of service, and closes by showing how Reve reads what comes back from payers so providers can keep the money they've already been paid.
Read insight