Denials are the bane of medical billing. They delay payments, consume staff time, and—if not managed properly—can cost practices thousands in lost revenue. At OXO Health, we've built AI systems that tackle denials at their source: before they happen.
Predictive Denial Prevention
Traditional denial management is reactive. A claim gets denied, then someone spends time figuring out why and submitting an appeal. It's inefficient and frustrating.
Our AI takes a different approach. By analyzing patterns across millions of claims, we can predict which claims are likely to be denied—and why—before they're even submitted. This allows us to fix issues proactively, dramatically reducing denial rates.
The Human Element
Here's what's crucial: our AI doesn't make final decisions. It flags potential issues and makes recommendations. Human experts—experienced billing specialists with years of domain knowledge—review those recommendations and make the calls.
This human-in-the-loop approach gives us the best of both worlds: the speed and pattern recognition of AI, combined with the judgment and expertise of experienced professionals.
Results That Speak
Practices using our AI-assisted denial prevention see first-pass approval rates above 98%. That's not just a number—it's faster payments, less staff time on appeals, and more revenue in your pocket.
The future of denial management isn't AI replacing people. It's AI empowering people to do their best work.
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