Stop Losing Revenue to Claim Denials
$262 billion lost to claim denials annually. Your share doesn't have to grow.
AI-powered denial interception that catches CARC errors before submission — not after rejection. Your billing team stays in control.
The Revenue Cycle Crisis in Numbers
US healthcare administrative costs total $812 billion annually — roughly 25% of total spending. Your revenue cycle team absorbs the impact daily.
Denial Rates Surging
Providers reporting 10%+ denial rates jumped from 30% to 41% between 2022-2025 [Aspirion]. Primary care denials up 31% [HoneyHealth]. 35-65% of denied claims never resubmitted [AHA/Experian].
Rework Is Unsustainable
Cost to rework one denied claim: $25 for physician practices, up to $118 for hospitals [Inovalon/AAPC]. At scale, 10-15% of net revenue lost to denial-related costs [Neolytix].
Cash Trapped in AR
Hospital DSO averages 50-65 days vs 40-day best practice [HFMA MAP Keys]. Every extra day costs a mid-size hospital $50K-$100K in delayed cash flow [Becker's/HFMA].
Staffing Crisis
76% of healthcare orgs report difficulty hiring qualified billing staff [MGMA, 2024]. Annual turnover 25-30% [AAHAM]. Training a new biller takes 3-6 months to full productivity.
Before — Manual Revenue Cycle
- Manual claim scrubbing — errors caught after rejection
- Denial rework: $25-$118 per claim, 3-5 staff hours
- ERA/EOB reconciliation in spreadsheets
- Patient statements mailed monthly — 60+ day collection cycles
- Payer follow-up via phone hold queues (45 min avg)
- AR aging reports pulled weekly — stale by delivery
After — Singoa AI Automation
- AI pre-submission scrubbing — CARC errors caught before filing
- Auto-generated appeals with clinical documentation in <24hrs
- Automated 835 reconciliation with variance alerts
- Patient payment plans via SMS/email — 3x faster collection
- Automated payer follow-up with escalation workflows
- Real-time AR dashboards with predictive aging alerts
Revenue Cycle Command Center
Four integrated modules that cover the full revenue cycle — from pre-submission scrubbing to patient collections.
Catch Denials Before They Happen
AI scans every claim pre-submission against payer-specific rules, NCCI edits, LCD/NCD policies, and historical denial patterns. Flags CARC risk codes (CO-16, CO-45, CO-4, PR-1) and auto-corrects where possible.
- Pre-submission CARC/RARC risk scoring
- Auto-correction of coding errors (CPT/ICD-10 mismatches)
- Payer-specific rule engine (UnitedHealth, Aetna, BCBS, Cigna, Medicare)
- Appeal auto-generation with clinical documentation
- Real-time denial trend analytics by payer, provider, CPT
Your ROI Potential
Conservative estimates based on published industry benchmarks. Most practices see full ROI within 2-3 months.
Denial Rate Reduction
Average denial rate reduction within 90 days [HFMA/Experian benchmarks]
DSO Improvement
Reduction in days sales outstanding through automated follow-up [HFMA MAP Keys]
Staff Time Saved
Reduction in manual follow-up hours — reallocated to complex cases [MGMA]
Sample ROI: Mid-Size Practice (5 Providers)
Monthly claims: 2,500
Current denial rate: 12%
Avg claim value: $285
Rework cost/denial: $25
Denials prevented/mo: ~75 claims
Revenue recovered: $21,375/mo
Rework savings: $1,875/mo
Est. annual impact: $279,000
Assumptions: 25% denial reduction, $285 avg claim [MGMA], $25 rework cost [AAPC]. Actual results vary by payer mix and specialty.
Connects to Your Existing Stack
HL7 FHIR APIs and direct clearinghouse passthrough. No middleware required. Most integrations live in under 48 hours.
EHR / Practice Management
Clearinghouses
Accounting
Communication
Built for Healthcare Compliance
After Olive AI's shutdown displaced thousands of healthcare orgs, trust in health-tech vendors matters more than ever. We earn it with transparency.
HIPAA Compliant
- AES-256 encryption at rest
- TLS 1.3 in transit
- Role-based access controls (RBAC)
- Immutable PHI audit trails
- Automatic session timeout
- Minimum necessary access principle
SOC 2 Type II
- Annual third-party audit
- Continuous monitoring controls
- Incident response procedures
- Change management protocols
- Vendor risk management
- Employee security training
BAA Included
- Signed before onboarding
- No additional cost
- Covers all PHI handling
- Breach notification procedures
- Subcontractor obligations
- Termination data return/destroy
Frequently Asked Questions
Everything revenue cycle leaders ask before switching to AI-powered AR automation.
See Singoa for Your Revenue Cycle
15-minute demo tailored to your specialty, payer mix, and claim volume. No commitment required.