Recover denied claims. Automatically.

AI agents that call, follow up, and close payouts — without human effort. Built for providers and revenue cycle teams tired of chasing insurers.

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Trusted by hospitals and
revenue cycle teams

🏥 Regional Health Systems
👨‍⚕️ Physician Groups
🧾 Medical Billing Companies
🔄 RCM Service Providers
🏛️ Multi-Specialty Clinics
💼 Independent Practices
🌐 Healthcare Networks
📋 Ambulatory Surgery Centers
$0K
Revenue recovered per day
0hr
Average claim resolution time
0%
Recovery rate on worked denials

What we do
for your AR team

ClaimOps replaces the manual grind of chasing payers. Our AI agents handle the entire denial recovery lifecycle — so your team focuses on exceptions, not phone queues.

Denial Detection & Prioritization
AI scans your denied claims and surfaces the highest-value recovery opportunities instantly. No manual sorting, no spreadsheets.
Automated Payer Calls
AI agents contact insurance provider lines, navigate IVR menus, wait on hold, and speak with payer representatives — without human involvement.
Batch Claim Resolution
One call can resolve dozens of claims. AI verifies prior authorizations, checks status, confirms reprocessing, and identifies missing documentation in bulk.
Real-Time EHR Updates
After each resolved claim, the system automatically updates your EHR with the outcome. Your AR team always knows the next action without lifting a finger.

From denied
to recovered

ClaimOps handles the full recovery lifecycle end-to-end. Upload your denials, and our AI does everything else — except receive the payment.

01
Ingestion

Upload Your Denied Claims

Connect your EHR or upload a batch. ClaimOps instantly analyzes your denied claims, identifies recovery opportunities, and ranks them by dollar value and payer line.

Learn more →
Claim Queue — 1,240 Active
CLM-0021Denied
CLM-0022Pending
CLM-0023Recovered
CLM-0024Denied
02
Outreach

AI Calls Payers Automatically

No hold music for your team. Our agents navigate IVR menus, wait on hold, speak with representatives, and verify claim details — all without human involvement.

Learn more →
📞Dialing payer provider lineDone
🎛️Navigating IVR menuDone
On hold (4 min 12 sec)Done
🤝Speaking with representativeLive
03
Recovery

Find the Money Stuck with Payers

AI identifies recoverable revenue in real time, prioritizes high-value claims, and targets specific payer lines — giving your team a live view of what's being recovered.

Learn more →
Recoverable Revenue
$2.48M
04
Automation

Auto-Update Claim Status

After every call, ClaimOps logs the outcome and updates your EHR automatically. Reprocessing initiated, docs required, corrected claims flagged — your team always knows what's next.

Learn more →
CLM-0021 · ReprocessingUpdated
CLM-0022 · Docs RequiredUpdated
CLM-0023 · Corrected ClaimUpdated
CLM-0024 · Payment IssuedUpdated

Built for revenue cycle
teams at scale

ClaimOps is designed for organizations that manage claims volume daily. If denied claims are eating your revenue, we built this for you.

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Hospitals & Health Systems

Manage high-volume denial backlogs across multiple payer lines and service lines without scaling your AR team headcount.

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Physician Groups

Recover revenue from complex multi-specialty denials that fall through the cracks of manual follow-up workflows.

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Medical Billing Companies

Deliver faster, higher recovery rates to your clients — without adding headcount. Scale your denial management services profitably.

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RCM Service Providers

Integrate ClaimOps into your existing platform and offer AI-powered denial recovery as a differentiated service to your clients.

Manual AR Follow-ups
WEEKS
Claims aging 60–90 days. Staff on hold. Denials lost in spreadsheets. Revenue stuck in limbo.
ClaimOps Resolution
HOURS
AI works around the clock. Every claim is followed up. Revenue recovered before it ages out.

Your team doesn't have a
claims problem. They have a
follow-up problem.

  • Calls take 20–40 minutes each
  • Staff avoids or delays them
  • High-value claims sit untouched

That's where revenue leaks.

Built for teams where denied claims are a daily reality.

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50–100 bed hospitals with active insurance billing

Enough claim volume to feel the pain. Not enough AR staff to handle it all without dropping follow-ups.

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RCM teams with a growing denial backlog

When your queue is growing faster than your team can work it, you need automation — not more headcount.

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CFOs who care about cash flow, not reports

You don't need another dashboard. You need the money that's already yours, recovered and in the bank.

Simple pricing.
No surprises.

Platform Fee

Fixed monthly
platform access

One flat fee to connect your EHR, onboard your team, and access the ClaimOps dashboard. No seat limits, no hidden setup costs.

  • Full dashboard access
  • EHR integration included
  • Unlimited users
  • Onboarding & support
Usage Fee

Pay per
resolved call

You're only charged for calls where our AI agents actually work a claim. No calls, no charge. Scale up or down based on your denial volume each month.

  • Per-call billing — only for worked claims
  • No minimum call commitment
  • Real-time usage visibility
  • Volume discounts available

Start small. Scale only when you see results.

Stop chasing payers.
Start recovering revenue.

Join revenue cycle teams recovering millions in denied claims — automatically.