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WHO WE SERVE / HEALTHCARE PROVIDERS

Revenue-cycle AI built for healthcare providers.

Payer-trained intelligence designed for healthcare providers, with decisions that remain yours.

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For the CFO

Protect margin already earned. Every denied or underpaid claim is revenue your organization spent time and money to deliver, and Reve ensures you get paid for it.

For revenue-cycle leaders

Give the team a payer-informed perspective on claims. Reve drives expedited and accurate research, review and appeal preparation, so staff can focus on work requiring their expert judgment.

Customized for your operation

From multi-hospital systems to community and critical access hospitals, once we get to know how your operations work, we customize Reve agents to drive additional revenue.

A practical pilot

Evaluate the defined 100-denial, 100-appeal work product with citations and analysis. No integration is required; provider teams control what is sent.

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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