We are a boutique company providing cutting-edge AI solutions for claim denial recovery for medical and pathology laboratories and RCM partners. Our AI agents take action and complete the work—not just generate reports. We deliver exceptional service and personal attention to every client we choose to work with.

See how we are different, read report https://bit.ly/3MKryLi

We help independent labs and RCM groups recover revenue from claim denials with AI agents that can write and submit appeals, update claims, request information, and more.



PRODUCTS

• Recovr — AI-powered Claim Recovery Agent that identifies denial root causes, determines recovery steps, and executes actions to resolve denials. Actual execution, not recommendations.

• PayPredict — Learning engine that analyzes EDI 837/835 history to identify payer denial patterns, reimbursement rates, and refiling success rates.

• Refile — Web application for viewing, editing, and resubmitting denied claims.



REAL-TIME INTELLIGENCE

Every analysis draws from live data:

• Patient billing history and eligibility verification

• Insurance and coordination of benefits discovery

• NCCI Edits and LCD/NCD databases

• 2,000+ payer policy documents

• Provider NPI database

• Payer contracts and fee schedules



AGENT ACTIONS

•  Creates appeal letters with policy citations

• Generates provider information request letters

• Updates claim fields for refiling

• Creates appeal letters with policy citations



YOU CONTROL THE AUTOMATION

• Full Autonomy: Agent recovers claims automatically

• Human-in-the-Loop: Agent prepares, you approve

• Manual: Chat-based interactive guidance



EASY INTEGRATION

Provide EDI 837/835 files (12 months preferred). Operational within 48 hours. No complex implementation.

Pinnacle Services Corporation

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Pinnacle Services Corporation

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Teams

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