AI-powered denial workflow for billing teams

Turn denied claims into recovered revenue

ClaimGuard reads your EOBs, explains exactly why each claim was denied, and drafts the appeal for you — so your team files faster, misses fewer deadlines, and collects more of what you're owed.

  • No credit card required
  • Works with your existing EOBs
  • Set up in minutes

Denial overview

Northside Family Care

Appealed

Revenue at risk

$48,200

Recovered this month

$31,750

Denial rate

12.4%

Open appeals

18

Latest denial

Appeal

CO-197 · Prior auth missing

Aetna · Claim #CLM-20418 · appeal drafted automatically

Denials are draining your bottom line

Billing teams lose real revenue to denials that are too slow, too manual, and too easy to miss.

Denials pile up faster than you can work them

Every denied claim is revenue sitting on the table. Without a system, the backlog grows and dollars quietly age out.

Figuring out the root cause is slow, manual work

Decoding denial codes and EOB language eats hours your billers don't have — and the reason often gets misread.

Appeal deadlines slip past unnoticed

Payer filing windows are short. Miss one and the claim is gone for good, no matter how strong the case was.

From denial to recovery in three steps

The same parse → classify → draft pipeline your team would run by hand, done automatically.

Step 1

Upload the EOB

Drop in the denial or EOB PDF you already receive. ClaimGuard parses it and pulls out the denial codes automatically.

Step 2

AI explains it and drafts the appeal

Get a plain-language reason for the denial, a recommendation to appeal, resubmit, or write off — and a ready-to-edit appeal letter.

Step 3

Track it through to recovery

Follow each claim from denial to appeal to payment, with deadlines and recovered dollars in one place.

Everything you need to work denials

Built for billing teams, from first denial to recovered payment.

Automatic denial analysis
Denial codes and EOB text turned into a clear, actionable reason for every claim.
AI-drafted appeal letters
Professional appeals drafted instantly, ready for your team to review and send.
Deadline tracking
A Needs Action view surfaces claims by days-to-deadline so nothing slips through.
Denial analytics by payer
Spot which payers and denial categories cost you the most, and act on the patterns.
Recovery tracking
See revenue at risk versus recovered, so you always know what your appeals are returning.
Works with your EOB PDFs
No new billing system — bring the documents you already get from payers today.

Real results from denial automation

What ClaimGuard delivers for billing teams.

0%

Average denial recovery rate

0 min

From EOB upload to appeal draft

0

Missed deadlines with automated tracking

Illustrative outcomes based on the ClaimGuard workflow.

Frequently asked questions

Everything billing teams ask before getting started.

How does ClaimGuard know why a claim was denied?

Upload the EOB or denial PDF and ClaimGuard parses it, extracts the denial codes, and uses AI to explain the root cause in plain language — then recommends whether to appeal, resubmit, or write off.

Do I have to change my billing system?

No. ClaimGuard works alongside your existing workflow. You bring the EOBs you already receive; we handle the analysis, appeal drafting, and tracking.

Are the appeal letters ready to send?

Each appeal is drafted automatically with the relevant claim details and denial reasoning. Your team reviews and edits in the built-in editor before submitting — you stay in control.

How does it help us hit appeal deadlines?

Denials that need attention surface in a Needs Action view with the days remaining before each filing deadline, so nothing slips past the payer's window.

Is our patient data secure?

Claims data stays within your ClaimGuard workspace and is used only to analyze denials and draft appeals for your practice.

Start recovering revenue

See ClaimGuard on your denials

Request a demo and we'll show you how much of your denied revenue ClaimGuard can help you recover.

No credit card required. We'll only use your email to set up the demo.