Stop writing off denied claims
65% of denied claims are never reworked — that's revenue your practice earned but never collected. Agentman's Denial Recovery Agent identifies patterns, generates appeals with documentation, and tracks recovery automatically.
The Problem
Every written-off denial is revenue you already earned
Denials aren't just paperwork problems — they're cash flow killers. Most practices don't have the staff or time to pursue appeals, so they write off claims that could have been recovered with the right documentation and persistence.
in claims denied annually in the US
The healthcare industry loses hundreds of billions to claim denials every year. Most practices write off 50-65% of denied claims because the appeal process is too time-consuming to pursue.
of denied claims are never reworked
Staff don't have time to research denial reasons, gather supporting documentation, and write appeals. The result: recoverable revenue walks out the door every single day.
average time to research and appeal one denial
Between identifying the denial reason, pulling the right documentation, writing the appeal letter, and resubmitting — each denial consumes nearly an hour of skilled staff time.
Before & After
What changes when denials get worked automatically
Your team still handles complex appeals and payer negotiations. The difference: routine denials get worked immediately instead of piling up in a queue.
65% of denied claims written off as uncollectable
Agent identifies and works 85-90% of recoverable denials
45 minutes per denial to research, write, and submit appeals
Appeals generated in minutes with relevant documentation attached
Same denial patterns repeat month after month
Root cause analysis prevents recurring denials at the source
Staff prioritize denials by recency, not recovery potential
AI prioritizes by dollar value and overturn probability
No visibility into denial trends or payer behavior
Real-time analytics show patterns by payer, code, and provider
What the Agent Does
From denial to recovery, automatically
Not a reporting tool. An agent that analyzes denials, generates appeals, resubmits correctable claims, and prevents future denials from happening.
Denial Pattern Recognition
Analyzes denial codes, payer behavior, and historical data to identify systemic issues. Surfaces root causes so you can prevent denials, not just react to them.
Automated Appeal Generation
Generates payer-specific appeal letters with supporting clinical documentation, relevant policy references, and medical necessity justification — ready for review and submission.
Intelligent Rework Prioritization
Ranks denied claims by recovery probability and dollar value. Focuses your team's time on the denials most likely to be overturned, not just the most recent ones.
Root Cause Prevention
Identifies patterns across denials — by payer, code, provider, or process — and recommends upstream fixes to prevent the same denials from recurring.
Recovery Analytics Dashboard
Tracks appeal success rates, recovery amounts, and turnaround times by payer. Provides clear visibility into your denial management performance and trends.
Automated Resubmission
For denials caused by simple errors — missing modifiers, incorrect patient info, timely filing issues — the agent corrects and resubmits automatically without staff involvement.
Expected Results
Numbers that matter to your bottom line
Faster appeal turnaround
AI-generated appeals with complete documentation ready for review in minutes, not hours
Improved recovery rates
More denials worked with better documentation means more revenue recovered from claims you already earned
Routine denials handled automatically
Simple errors, missing info, and common denial codes corrected and resubmitted without staff involvement
Annual recovered revenue
Revenue that would have been written off, recovered through systematic appeal generation and resubmission
Note: Results vary by practice size, denial volume, and payer mix. Ranges based on industry benchmarks and early deployment data.
Why Agentman
Not another denial report. An agent that recovers revenue.
Most denial management tools show you what was denied. Agentman agents figure out why, generate the appeal, and prevent it from happening again. That's the difference between a report and recovery.
Agents, Not Reports
Our agent doesn't just surface denials — it works them. Pattern analysis, appeal generation, automated resubmission, and root cause prevention, all without adding to your staff's workload.
Human-in-the-Loop, Always
Complex appeals and payer negotiations always involve your billing team. The agent handles the research, documentation, and routine rework so your team focuses on high-value recovery.
Battle-Tested in Production
24 months building AI agents for healthcare. We know the difference between a demo that impresses and a system that actually recovers revenue from real payer denials.
Part of a Full Suite
Denial recovery is one of eight RCM agents
From eligibility verification to prior authorization, Agentman automates the entire revenue cycle. Denial recovery catches what slips through — but the full suite prevents most denials from happening in the first place.
See All RCM AgentsReady to stop leaving money on the table?
See exactly how the Denial Recovery Agent handles your practice's denial patterns. 30-minute demo tailored to your payer mix.
No credit card required · 2-week implementation · Cancel anytime