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Next-Gen

Denials Management

Xoodoc Automated Denials Management AI

Automate denials management with Xoodoc AI: predict and prevent denials, auto-draft appeals with citations, and track recoveries—secure and EHR-integrated.

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Agent running: Xoodoc Denials AI
  1. Claim and patient verified. Encounter, provider, and patient matched; claim lines and codes ingested for review. 6.3 seconds
  2. Risk scan run. Payer policy, NCCI/OCE, and LCD/NCD checks applied; historical denial patterns loaded. 11.9 seconds
  3. Root causes identified. Missing clinicals, coding conflicts, bundling, auth gaps, and coverage issues flagged with reason codes. 15.4 seconds
  4. Fixes proposed. Edits and documentation requests prepared; clean resubmission preview generated. 18.7 seconds
  5. Appeal drafted. Payer-ready appeal letter created with citations and required attachments; submitted via portal/API. 22.2 seconds
  6. Outcome tracked. Decisions monitored and recoveries posted to the EHR/billing system with a full audit trail. Completed

Built for Denials Management

Xoodoc AI reviews claims end to end, predicts denial risk before submission, flags missing clinicals or coding, and — when denials occur — drafts payer-ready appeals with citations and tracks recoveries back to your EHR.

Xoodoc AI Agents

Xoodoc Denials AI

The Xoodoc Denials Management Platform AI

Automate denials prevention and recovery — predict denial risk before submission, surface root causes, auto-draft appeals with citations, and sync outcomes to your EHR with explainable AI.

Denials AI Agent

Denials AI Agent

Reads claims and clinical context in seconds — detects likely denial triggers, maps policy rules, and finds root-cause risk before submission.

Risk & Root-Cause Detection

Risk & Root-Cause Detection

Identifies coverage gaps, auth issues, coding conflicts, missing clinicals, and bundling risk — with explainable evidence and next steps.

Appeals & Resolution

Appeals & Resolution

Auto-drafts payer-ready appeals with policy citations and attachments, supports resubmission, and manages follow-ups until resolution.

EHR Connectivity

EHR Connectivity

Status changes, approvals, and recoveries are synced back to your EHR/billing system with a complete audit trail and outcome history.
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