Defend every claim, appeal by appeal

SmarterDenials™ is clinical AI that turns complex care into defensible clinical case evidence. With targeted, high-impact appeal letters, teams can recover more revenue with less friction. That’s the definition of working smarter, not harder.

36%

average overturn rate for medical necessity and DRG downgrade denials

$4.6K

recovered per appeal

57K+

denials processed

$345M+

estimated at-risk dollars processed

The mounting denials problem

As denials skyrocket with payer-adopted AI solutions, appealing DRG downgrades and medical necessity denials is becoming more complex. Health systems need a tool that fights back with speed, precision, and results.

From “adding up” to “appealed”

In minutes, SmarterDenials creates comprehensive appeals for even the most complex cases by scanning all relevant information — helping health systems get paid more and faster.

How it works

More appeals. More money. Less hassle.

Everything your appeals team needs to fight back

Clinical AI analysis

Quickly identifies discrepancies and medical necessity evidence between the denial and the documented care.

Comprehensive clinical evidence

Automatically generates letters backed by in-line clinical evidence and coding references needed to overturn even the most complex cases.

Lightning-fast generation

Our generative AI creates appeal letters in just minutes.

User-friendly workflows

SmarterDenials drastically reduces time and paperwork, but your team has full control — reviewing, refining, and sending the final letter.

“All of those revenue opportunities that were missed before are now captured. I can’t think of another solution that has had that kind of measurable impact.”
“Our team is empowered. They are spending more time clinically validating diagnoses at risk for denial.”
“We are now reviewing 100% of clinical data across 100% of patient charts, capturing over $11 million in annualized net new revenue.”

Contact us

Ready to boost overturn rates with unmatched appeals?

Get all of the evidence needed to generate clinically sound appeals at your fingertips. Ready to change the rising tides of denials? Let’s chat.

It’s officially in our orbit. A member of the SmarterDx team will be in touch soon.
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