For hospital systems and physician groups
AI agents read the medical record, match the payer policy, and draft a complete, cited appeal in about two minutes. Your revenue cycle team approves and sends. The appeal rate stops being limited by nurse hours.
Built for: CFO, VP of revenue cycle, or director of denials management
The problem
Most denials are appealable and most are never appealed, because each appeal takes 30 to 60 minutes of clinical staff time. The backlog grows, the timely-filing window closes, and the write-off is booked as if it were inevitable. It is not. A system that drafts the appeal in two minutes changes the economics of the entire queue.
What we run for you
Each workflow below is live for a client and measured. Start with one, add the next when the first is paying for itself.
01/03
Insurance denials turned into complete, cited appeal letters from the medical record, reviewed by your staff and filed inside the timely-filing window. At 2 minutes an appeal you fight every denial, not just the large ones. Deployed inside your HIPAA environment under a BAA.
02/03
Every recorded call scored against your scorecard within the hour, with the evidence quote and a coaching note per agent. Scores are calibrated against your senior QA analysts and the agreement rate is reported monthly.
03/03
Every Google, Yelp, and Facebook review answered in your brand voice within minutes, per location, with a manager approval step for anything under three stars. Replies reference the actual visit from your job record.
Proof
For your team
Explore the approach for your team, role, or use case.
The system reads the chart, matches the payer policy, and drafts a cited appeal in about two minutes. Your denials specialist reviews and sends, so the appeal rate is no longer set by the hours you have.
Explore this solutionFour cooperating agents pull the encounter over FHIR, build the clinical argument, match the payer policy, and draft the letter with citations. Your appeals nurse signs it. One hospital group recovered millions in denied inpatient claims this way.
Explore this solutionThe system drafts a cited, payer-formatted appeal from the chart in about two minutes. Your denials specialists review and file, so the long tail of denials stops being adjusted off and starts being collected.
Explore this solutionThe system pulls the clinical notes, matches the payer's own medical-necessity criteria, and drafts a written appeal with citations. Your physician or nurse reviews and signs in minutes instead of an hour.
Explore this solutionEvery appealed denial that gets paid is revenue that reaches EBITDA, and every unappealed denial is a write-off a buyer will discount. The appeals engine drafts every letter in about two minutes; your reviewers sign; the results are documented for diligence.
Explore this solutionFour cooperating agents pull the record, build the clinical argument, match the payer policy, and draft the cited letter for your reviewer to sign. Configured to your payers, your EHR, and your reviewers by the engineer who built the original.
Explore this solutionThe appeals engine drafts every letter in about two minutes so your team appeals every denial, not the ones it has hours for. Recovery, cost per appeal, and dollars in flight are reported monthly on one page you can put in the board pack.
Explore this solutionEvery denial gets a drafted, cited letter in about two minutes, ordered by payer deadline, so your reviewers spend their hours reviewing. Coverage and accuracy against their edits are reported monthly, per payer and per facility.
Explore this solutionThe cost of doing nothing
A few sliders, no email required. The estimate uses your inputs and the stated assumptions, nothing hidden, so you can check the math before you talk to anyone. Bring the numbers to the call and the roadmap does this math for your group, in writing.
Denial appeals
CFO or VP of revenue cycle at a hospital system or physician group
Median was 2.7% in 2025 (Kodiak Solutions, 2,300+ hospitals). Edit it if you know yours.
Your call. About one physician in five says their practice always appeals an adverse prior auth decision (AMA, 2025).
Used with net revenue to pick the tier that fits you.
Final denials written off every year
The estimate starts from what you already wrote off, not from initial denials, and it applies half the industry overturn rate to denials nobody chose to fight. Bring your own final denial number to the call and the roadmap redoes this math for your group, in writing.
Pricing
One clinical appeals nurse costs about $94,500 a year. One unappealed inpatient denial can exceed $14,000. This is priced against those numbers, not against hours.
Multi-facility, inside your compliance boundary.
from $400,000 over 12 months
Includes up to 150,000 denials a month across all facilities
Written quote in the 48-hour roadmap. No assessment fee.
Appeals plus two more workflows across the revenue cycle.
$204,000 over 12 months
Includes up to 50,000 denials a month (calls or reviews on the adjacent workflows)
Every appealable denial, appealed.
$95,000 over 12 months
Includes up to 10,000 denials a month
The smallest tier. A group under 3,000 denials a month gets the same engine at the same price, well inside the limit.
Every plan carries the 90-day guarantee with term exit: two agreed numbers, fee pause if missed, and the right to end the term after 30 days' notice.
Usage above the plan limit is passed through at model cost with the invoice attached. Your monthly review shows cost per appeal, so there are no surprises.
12 months standard, starting at launch. A 36-month partner term with a locked price is offered after the 90-day guarantee period, once you have a number. Contracts are assignable to an acquirer at no charge.
All prices in USD.
FAQ
The appeals system was built and shipped inside a HIPAA-compliant environment that handles protected health information, integrated with EHR data over HL7 FHIR. SASID deploys inside your compliant infrastructure and under your controls; SASID itself holds no certification and does not claim one.
Get started
Thirty minutes on a call, then a written roadmap within 48 hours: the workflow, the systems it connects to, the price, and what doing nothing costs at your volume. Then fifty of your real denials, under NDA and BAA, drafted and scored by your reviewer before any fee.
Thirty minutes. You bring the leak and the volume; within 48 hours you receive a written roadmap covering the workflow, the integrations, the price, and the cost of doing nothing at your numbers.
You bring the leak and the volume. We map it to one workflow and the system it lives in.
The workflow, integrations, timeline, price, and the cost of doing nothing at your numbers. If the numbers do not support building, the roadmap says so.
Fifty real denials (or two hundred calls, or a week of reviews for adjacent workflows). You see the letters and the accuracy before any fee is committed.
Weekly releases into your environment, then the 90-day guarantee clock starts.
Prefer to write it down?
Starts are scheduled monthly. A signed roadmap holds a date.
