AiClaim was built by revenue cycle operators who got tired of working denials after the money was already lost — and decided to predict them instead.
Our team has spent 25 years inside the revenue cycle — running billing operations, fighting payer policies, and watching the same denials repeat month after month across 150+ healthcare institutions. ClearClaim, our denial prediction engine, exists because we lived the problem: over 250,000 claims processed, every prediction validated against the actual 835 remittance.
Everything we build serves the same outcome: the denial that never happens.
Every claim scored against 4 rule libraries in seconds — with the predicted CARC, the dollars at risk, and the payer's historical behavior on claims like it.
PREVENT / 02Dollar-prioritized worklists, biller-approved fixes, and an optional fix bot that applies corrections inside your EMR/PM with a full audit log.
PROVE / 03The payer's real adjudication is our scoreboard. Missed denials become new rules automatically; wrong payer denials become auto-appeals.
No black box. Every rule shows pass or fail, every prediction shows its reasoning, and every fix-bot action is logged for audit.
PHI is stripped before analysis. Patient identity never needs to leave your environment for a claim to be scored.
Your team's judgment outranks the model. Every agree/disagree annotation trains the AI on your book of business.
We grade ourselves against the 835 — the payer's actual adjudication — not vanity metrics. Accuracy, precision, and recall are on your dashboard.
Aiclaim does an extremely thorough job with the billing for our clinic. They are very responsive and easy to get in touch with when any billing issues or questions arise. They are a top-notch billing company with great customer service, highly recommend.
AiClaim has been a wonderful addition to our practice. Their expert handling of billing and credentialing has streamlined our operations and accelerated reimbursements. Thanks to their attention to detail and efficient service, we can focus fully on our clients without worrying about administrative tasks. Highly recommend!
Bring six months of claims and remittance data — we'll show you exactly which denials we would have predicted, and what they cost you.
