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REVE SOLUTION / CO-PILOT

Your payer expert, on call for every claim.

Co-Pilot brings cited answers on what each payer contract, policy, and code actually allows, before claim submission.

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Coming soon

A closer look at this workflow will be available here.

The rules change faster than teams can read them

Payer contracts and medical policies run to thousands of pages and change constantly. Gaps in the rules can become denials.

Reve Co-Pilot Agent Family

Contract Agent

Contract Agents read payer agreements and help your team locate rates, terms, and exceptions relevant to a service. Confirm interpretation against your agreement.

Policy Agents

Policy Agents help teams find and examine payer medical and payment policies. Current policy availability and coverage require case-by-case validation.

Coding Agent

Coding Agents bring payer edits and coding references into review, helping teams consider whether codes and documentation reflect the care delivered. Human coding judgment remains essential.

Reve supports provider review; it does not determine coverage, guarantee payment, or make the provider’s decision.

See the payer lens in context.

Explore an illustrative walkthrough or discuss the defined pilot scope.

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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
Press Release

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.

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Getting Past The Test Drive: Getting RCM AI From Demo To Production
Blog

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.

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Denials Use the Front Door. Recoupments Use the Back.
Blog

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.

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