Denial intelligence, from the transactions up
Connects claims, remittances and enrolment to explain why revenue was withheld — and what the record says in reply.
50 files·75,355 transaction sets·97.0% matched·no warnings·analysis up to date
Ingest→Validate→Match→Classify→Investigate→Recover→Prevent
Five transaction types834 enrolment, 837P claims, 835 remittances, 278 authorisations, 271 eligibility — up to 1,000 transaction sets in one file.
Confidence-based matchingSix weighted rules join each remittance to the claim that produced it, and report an honest “unmatched” rather than a guess.
Evidence, not assertionA denial says coverage had ended or authorisation was absent. The 834 and the 278 settle whether that was true.
Every table exportsFormatted Excel with subtotals, totals and the filters that produced it recorded alongside.