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REVE SOLUTION / POST-SUBMISSION

Every denial deserves a closer look.

Analyze denials, downcoding, and underpayment questions with payer rules and contract terms in view. Your provider team controls the response.

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A closer look at this workflow will be available here.

Denied revenue is often left behind

Teams cannot manually investigate every account. Reve helps bring context to claims that might otherwise be difficult to prioritize.

Reve Post-Submission Agent Family

Denial Agents

Denial Agents examine the stated rationale beside relevant policy, contract terms, and evidence, then prepare appeal materials for provider review. Timing and outcomes are not guaranteed.

Downcoding Agents

Downcoding review can help identify when a payer changes the level of service and organize the evidence for a provider’s evaluation.

Underpayments Agents

Compare payment information with contract-rate context to identify potential discrepancies for staff review. Availability depends on the data and agreement supplied.

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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