Result
$312 recovered
An Aetna NPI-mismatch denial the practice had already written off. Detected, appealed, and overturned in 14 days.
Pain-management practice
AI Denial Recovery · Every specialty, every state
Recover every denied claim, especially the small ones your team can't afford to chase.
Fighting one denial costs a biller about $57 to $65, so a $100 denial gets written off. Ivera detects, appeals, and submits every denial autonomously, then bills the payer the statutory interest your state requires for the delay.
HIPAA compliantFirst result in 24 hoursCancel anytime
Denial RecoveryClaim 04A-2231
Aetna Better Health · CPT 99213
Denial detected
835 · CO-97 · $312.40
Appeal drafted
Evidence-backed · 2s
Submitted to payer
Availity portal · DR0832710
Recovered $312.40
plus $14.20 statutory interest
$20,000
Recovered / mo
+40%
more overturns than a biller
24h
First result
Autonomous denial recovery, from detection to deposited dollars.
Ivera finds the denied claims your billing team cannot afford to fight by hand, drafts appeals using your clinical notes, and submits them to the payer portal automatically. You approve in one click. You get paid.
Works with every insurance payer
AetnaWellPointBCBSUnitedHealthCigna+ every other payer
Practice OverviewDenials detected this month0
Appeals auto-drafted0
Overturn rate0%
Revenue recovered$0
Plus the statutory interest your state requires on late payments
HIPAA-eligible
AWS infrastructure, BAA signed before any PHI moves
FIPS 140-2
Validated encryption in transit and at rest
State prompt-pay
We bill payers the statutory interest your state requires on late claims
Does this sound familiar?
The $10,000 monthly hole in your bottom line
Payers know small denials never get appealed. Here is exactly why that math works in their favor.
$57-6501
per appeal
The Labor Trap
Fighting a single denial costs a biller roughly $57 to $65 in staff time: hold queues, documentation, re-keying, and follow-up. That labor bill accrues whether the appeal wins or not.
$4002
written off
The Math Problem
When a claim is denied for $40 or $60, fighting it manually costs your practice more than the claim is worth. So it gets written off. Payers count on that calculus every day.
$10K+03
left on the table monthly
The Result
Payers like UnitedHealth and BCBS bank on administrative exhaustion. Those small-dollar denials pile into thousands of dollars of uncollected revenue every single month.
The Client Experience
From denied claim to recovered cash, without touching a portal
An autonomic agent works while you sleep. Your team approves, never manages.
01
Connect your 835 remittance files
Drop your X12 835 files into a watched folder or connect via your clearinghouse. Ivera reads every denial line automatically.
02
Ivera drafts the appeal overnight
The engine classifies each denial code, pulls the relevant clinical notes, and generates a payer-specific appeal with your state's prompt-pay citations. All before morning.
03
You approve in two seconds
One glance at the summary, one click on Approve. Ivera logs into the payer portal and submits the appeal autonomously. Your biller never touches it.
04
Recovered dollars land in your account
Overturned claims are reconciled against the ERA. We bill the payer the statutory interest your state requires for every day they were late.
Recovery PipelineClaim 04A-2231
Aetna Better Health · CPT 99213
835 Ingested
CO-97 denial detected
Claim 04A-2231 · $312.40
Appeal Drafted
Evidence-backed letter
CPT 99213 · Aetna
03
Awaiting Approval
Ready for 1-click review
Est. 2 seconds to approve
04
Submitted to Payer
Availity portal · DR0832710
Interest clock started
Projected recovery: $312.40+ $14.20 statutory interest
The Client Experience
From denied claim to recovered cash, without touching a portal
Keep scrolling. This is the whole workflow.
01
Connect your 835 remittance files
Drop your X12 835 files into a watched folder or connect via your clearinghouse. Ivera reads every denial line automatically.
02
Ivera drafts the appeal overnight
The engine classifies each denial code, pulls the relevant clinical notes, and generates a payer-specific appeal with your state's prompt-pay citations. All before morning.
03
You approve in two seconds
One glance at the summary, one click on Approve. Ivera logs into the payer portal and submits the appeal autonomously. Your biller never touches it.
04
Recovered dollars land in your account
Overturned claims are reconciled against the ERA. We bill the payer the statutory interest your state requires for every day they were late.
Proof of Recovery
Real outcomes, anonymized. Every metric comes from a live practice on the Ivera platform.
Statutory interest
18% added
The statutory interest a late payer owes, billed automatically on every claim Ivera recovers. Texas, for example, adds 18% on late clean claims.
Example: Texas
Approval time
2 seconds
The manager reads the drafted appeal and clicks approve. Ivera handles the portal login and filing.
Orthopedic group
Overturn rate
50-75%
Ivera-drafted appeals across CO-97, CO-4, and PR-96, overturned above typical billing-team rates.
By denial category
First result
24 hours
Ivera ingests remittance history and surfaces the first appeal for approval within a business day.
Primary care practice
Result
$312 recovered
An Aetna NPI-mismatch denial the practice had already written off. Detected, appealed, and overturned in 14 days.
Pain-management practice
Statutory interest
18% added
The statutory interest a late payer owes, billed automatically on every claim Ivera recovers. Texas, for example, adds 18% on late clean claims.
Example: Texas
Approval time
2 seconds
The manager reads the drafted appeal and clicks approve. Ivera handles the portal login and filing.
Orthopedic group
Overturn rate
50-75%
Ivera-drafted appeals across CO-97, CO-4, and PR-96, overturned above typical billing-team rates.
By denial category
First result
24 hours
Ivera ingests remittance history and surfaces the first appeal for approval within a business day.
Primary care practice
Sample Audit Findings
What we found at one family practice
One redacted CSV. One 24-hour audit. Here is what was sitting silent in their books.
$0
Recoverable found in a single audit
0
Silent write-offs
all under $100, totaling $21,940
$0
Statutory interest owed
at your state's prompt-pay rate
Forensic AuditFamily practice, 412 claims analyzed, DOS 2024.
CodeCPTAmountFlag
CO-9799213$148.00Recoverable
CO-499214$312.40Recoverable
PR-9699203$94.00Write-off
$84,000
Total recoverable
$21,940
Under $100, written off
Built for outcomes
What we build, and what you get.
Each capability maps to a concrete dollar or time outcome for your practice.
Intelligence
Deep-Scrub Line-Item Auditing
We catch the $40 short-pays your staff writes off, turning small leaks into a measurable bottom-line gain. Every CO-97, CO-4, and PR-96 line is flagged automatically.
CO-97$148.00Recoverable
CO-4$312.40Recoverable
PR-96$94.00Reviewed
$0
avg recovered / claim
incl. short-pays under $100
AI Agents
Clinical Context NLP Linking
We find the exact sentence in your doctor's notes that proves medical necessity, so your team never has to dig through files or write appeal language from scratch.
50-75%
overturn rate
across Aetna + WellPoint denials
Automation
Statutory Interest Engine
When a payer pays late, we bill them the statutory interest your state's prompt-pay law requires, turning a compliance rule into dollars you keep. Texas, for example, mandates 18%.
0%
interest billed to payers
Texas example, varies by state
Drops into the stack you already run
+ any EHR, via a simple export24h
First result
50-75%
Denials overturned
$0
Upfront, contingency only
BAA signed before any PHI moves. You approve every appeal before it files, nothing is submitted without a click.
Quick math
See what Ivera recovers, and the work it takes off your team.
Move the slider to your number of providers. Most teams write off the small denials because chasing them by hand costs more than the claim is worth. Ivera recovers them and does the appeal work, so the money lands without the hours.
Figures are per-provider averages from live practices, shown before Ivera's share of what we recover. Your actual numbers depend on payer mix and denial profile. Run the free review to see your real one.
providers
1 provider25 providers
Revenue recoverable
$10,000/ mo
$120,000/ yr
Before Ivera's 22% share of what we recover
Staff time saved
188hrs / mo
2,250hrs / yr
≈ 1.1 FTE of manual appeal work Ivera handles for you
Manual appeals vs Ivera
Without Ivera
With Ivera
Cost to file an appeal
$57-65
win or lose
$0
only on what we recover
Denials overturned
40-50%
industry average
50-75%
by denial type
Per-provider averages from live practices; one FTE is 2,080 hours a year. Your numbers vary by payer mix and denial profile. Higher-denial specialties such as ABA and physical therapy typically see materially more.
Get a free denial reviewPricing
You pay when the money lands.
Ivera keeps a share of the cash it recovers for your practice, scoped and disclosed before any claim is worked. No retainer, no minimums, month to month.
Get a Free Denial ReviewCommon Questions
Questions before you start your audit.
Everything you need to know before uploading your first remittance file.
Is this HIPAA-safe? Do you need patient data to run my review?
No PHI required for the review. We work from claim metadata only: claim ID, denial code, dollar amounts, payer, CPT, dates. No patient names, no DOBs. Strip those before you send and there is nothing protected in the file. Ivera also runs on AWS HIPAA-eligible infrastructure with FIPS-validated encryption in transit and at rest, and we sign a BAA before any PHI ever moves for the recovery work.
Do I have to switch billing systems or change my EHR?
No. You do not move off anything. We work from a redacted export out of whatever you already use. Nothing to install, no migration, no new login for your staff, no EHR password. Tebra and AthenaOne are supported out of the box for the recovery workflow, and other systems are handled case by case.
What if you find nothing, or recover nothing?
Then it costs you nothing. The review is free, and the recovery work runs on pure contingency: we only get paid when you do. If we do not recover money for you, you do not pay.
How fast is the first review?
24 hours. Send the redacted export and you get your numbers back the next day: the total recoverable, the small-dollar write-offs you are not tracking, and a payer-by-payer breakdown. The fastest path is to book a call and we walk you through it live.
Is a human in control of what gets filed?
Always. You approve every appeal before it is filed, one click from your dashboard. We detect the recoverable denials, draft the evidence-backed appeals, and submit them, but nothing goes to a payer in your name until you sign off on it. You can decline any of them.
How is this different from outsourcing to a billing service?
Billing services charge a monthly retainer to do the same manual work your staff already does. Ivera detects denials from your remittances, drafts appeals with clinical-note evidence, and submits them for you, billed only on what we recover. Your team approves, and there is no retainer.
My team already appeals some denials. What do you actually add?
We catch the ones they cannot get to. Your billers triage the big, obvious denials and run out of hours, so the $60 and $90 ones quietly get written off. Those add up to most of the leak. We work every recoverable denial, not just the ones worth a human's afternoon.
What is the contract length?
There is not one. We work month to month on contingency. No annual commitment, no minimums, no early-termination fee.
What happens if I cancel?
Give us 30 days notice and we wind down. You keep every dollar already recovered, we hand back your data, and we delete PHI on our side per the BAA. No clawback, no exit fee.
Free Denial Review
Stop the leak. Recover what you've already earned.
Start with a 100% HIPAA-Safe Denial Review. Send us a redacted CSV. We only want to find your missing cash. Results in 24 hours, walked through with you in a 15-minute call.
No credit card or payment info required
Works from a redacted CSV export
HIPAA Safe Harbor compliant process
Results in 24 hours, 15-minute walkthrough
Start a Free Denial Review
Fill out the form below. We'll send your Redaction Guide immediately.