DenialPilot is the first AI-powered medical appeal automation platform built specifically for ambulatory surgery centers (ASCs) and surgical specialty practices.

The Problem We Solve
ASCs and surgical practices write off $300K-$500K annually in legitimate clinical denials because manual appeals require 2-4 hours of clinical expertise per case. Traditional RCM companies abandon these denials—they lack the clinical staff and the economics don't work at 4-5% contingency.

The result? 85-90% of clinical denials go unappealed. That's found money leaving your practice every month.

How DenialPilot Works

We automate the entire appeal lifecycle in 5 minutes:
✓ Upload denial + clinical documentation (5 minutes)
✓ AI drafts 2-4 page clinical appeal with policy citations
✓ Citation Lock™ verifies every citation (zero hallucination risk)
✓ Auto-submit via portal or fax
✓ Track status and notifications automatically
✓ Recover revenue with 65% win rate
Zero Risk, Pure Upside

18% contingency on recovered revenue only
✓ $0 upfront cost, $0 monthly fees
✓ Start working denials in 48 hours
✓ Built for orthopedic, spine, pain management, and GI specialties

Built on Healthcare-Grade Infrastructure

DenialPilot runs on NovaThink—our proprietary AI platform with SOC 2 certification, HIPAA-aligned security, and 4 months of foundational engineering. While competitors are still building basic infrastructure, we're recovering revenue for ASCs.

Who We Serve

Ambulatory Surgery Centers (physician-owned, 3-100 providers)
Independent surgical specialty practices
RCM companies managing ASC/surgical practice billing

Category: Healthcare Revenue Defense

We're not denial management. We're Revenue Defense—turning the tables on payers who profit from denial complexity.

DenialPilot

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DenialPilot

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