For hospital systems and physician groups
Appeal every denial. Not the ones you have staff for.
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
Denials are a staffing problem disguised as a payer 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
Workflows built for healthcare groups and revenue cycle
Each workflow below is live for a client and measured. Start with one, add the next when the first is paying for itself.
Denial appeals
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.
Call quality scoring
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.
Review response engine
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
Shipped, measured, in production
The cost of doing nothing
Put your own numbers in.
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.
- Overturn rate on appeals you file today:
- 70% Premier Inc., 2025
- Applied to denials you have never fought:
- 35%, half the rate, because the easy ones are already being appealed
Final denials written off every year
- $4,050,000Final denials written off per year
- $2,430,000Of which never appealed
- $425,250Recoverable at the stated assumptions (cannot exceed the write-off)
- $95,000Year-one cost of the tier that fits your volume (Appeals Engine)
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 implementation fee. One monthly fee. No hourly meters.
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.
Platform
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.
- Every workflow across facilities and entities
- Dedicated environment in your cloud, BAA signed
- Fractional Head of AI seat
- Quarterly executive briefing and diligence pack
- Security review support for your IT and compliance teams
- Everything in Revenue Cycle
Revenue Cycle
RecommendedAppeals 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)
- The appeals engine
- Two of: patient-access call coverage, plain-English reporting over denial data, patient review response
- A plain-English analyst over your own denial data
- Biweekly roadmap sessions
- Priority engineering response
- Everything in Appeals Engine
Appeals Engine
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.
- The appeals workflow, Epic or Cerner over FHIR
- Reviewer sign-off on every letter, edits tracked
- Weekly releases into your environment
- Monthly results review with the engineer
- Coverage, accuracy, and cost per appeal reported
- 90-day performance guarantee with term exit
Included in every plan
- You own all source code, documentation, and runbooks from week one
- Working proof on your own denials before the implementation fee is committed
- Your nurse or denials specialist approves every letter, with an audit trail
- PHI stays in your cloud tenant; the model call goes through a private, HIPAA-eligible endpoint under BAA
- Cost per appeal, coverage, and accuracy reported to you monthly
- Model routing and fallback across providers, PII redaction, and guardrails
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.
Questions from healthcare groups and revenue cycle teams
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
Send us 50 of your denials. Get the math back in writing.
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.
- Free 30-minute call
- Written roadmap in 48 hours
- Proof on 50 of your denials before any fee
Book the 30-minute call
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.
- 0130-minute call
You bring the leak and the volume. We map it to one workflow and the system it lives in.
- 02Written roadmap in 48 hours
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.
- 03Proof on 50 of your denials
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.
- 04Live in 4 to 8 weeks
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.