Current Status: Losing the War

Payers Upgraded Their Weapons.
Did You?

Payers upgraded to AI-powered denial systems. Providers are still fighting back with manual appeals You're bringing a pen to an algorithm fight—and losing millions a year in revenue because of it.

The Payer (Them)

The Provider (You)

VS
AI Algorithms
Technology
Milliseconds
Speed
Zero Cost
Cost per Denial
Manual Labor
Technology
30-60 Mins
Speed
$25 - $118
Cost per Appeal

Result: 15-19% of your revenue is being held hostage.

The "Already Covered" Illusion

You think your billing company handles this.
The data proves they don't.

Rejections

(What they handle)

  • Simple formatting errors
  • Wrong DOB / ID numbers
  • Missing modifiers
65%

Untouched Denials

Of denied claims are never appealed because they require clinical arguments, not just data entry.

The Billing Company Incentive

"Why spend 60 mins fighting for $200 when we get paid 5% regardless?"

Medical Necessity

(What DenialPilot handles)

  • Clinical argumentation
  • Reading physician notes
  • Citing specific payer policies

Not Just ChatGPT.
An Execution Engine.

ChatGPT can write a letter. But who logs into the portal? Who fills the forms? Who uploads the docs? Who tracks the deadline?

1

Multi-Agent AI

Reads records, finds policy clauses, drafts clinical arguments.

2

Portal Automation Bots

Logs into Availity/UHC/Anthem. Fills forms. Uploads docs. Zero humans involved.

3

The Glass Box Dashboard

Real-time tracking with confirmation numbers. No more "black box" billing.

app.denialpilot.com/live-monitor
Today's Recovery
$12,450
Processing
47 Claims
UHC #99284
Medical Necessity Appeal
SUBMITTED
Conf: 88392-AV
Aetna #99214
Drafting Clinical Arguments...
PROCESSING
Agent: PolicyBot
BCBS #73721
Portal Login in progress...
NAVIGATING
Bot: Availity_04

Calculate Your "Found Money"

Use your own numbers. See what you're leaving on the table.

$
%

Industry avg: 15-19%

%

Most billing companies only appeal ~30%

Annual Loss (Written Off)
$210,000
Net Profit with DenialPilot
PURE PROFIT
$100,800
(After our 20% fee. You pay $0 upfront.)

"This is found money. Not a new expense."

The Zero-Risk Pilot

You have claims sitting in your denial spreadsheet right now that you've mentally written off.
Let us try to recover them.

Zero Downside Strategy
1

Send 40 Denials

Pick claims >30 days old. Dead money.

2

We Process Them

Zero upfront cost to you.

3

We Split Rewards

If we recover $0, you pay $0.

I Have Nothing To Lose. Let's Try It.

No integration required. No changing billing companies.