ClaimsIQ
Prior authorization and coding that prevents denials.
AI that assembles prior-authorization packets and reviews coding for compliance and completeness before submission - with a human approver in the loop.
The problem
Denials and rework drain revenue-cycle teams, and coding mistakes are expensive and compliance-sensitive.
How it works
Ingest the clinical documentation and payer requirements.
Draft the prior-auth packet and flag coding gaps or mismatches.
Surface the evidence behind every suggestion.
A specialist reviews and submits - the AI never files on its own.
Governed by our safety invariants
The same guardrails, every product
AI is never the source of truth
Authoritative hospital data and approved records govern every decision. AI output is a suggestion, checked against the system of record - never a substitute for it.
Abstain rather than guess
When confidence is low, our systems say "unable to determine" and route to a human. We optimize against confident, unsafe answers.
Mandatory human verification
A licensed professional confirms before any high-stakes action - dispensing, documentation sign-off, or claim submission.
PHI stays inside approved boundaries
Protected health information is never sent to unapproved AI providers, logs, analytics, or developer tools. External calls are redacted and schema-validated.
Immutable audit trail
Every AI execution, human decision, and data change is recorded in a tamper-evident audit log - so you can always answer "who, what, and why."
See safety-first AI in your workflow
Walk through a real clinical workflow with our team and see how AI assists without ever overriding your clinicians.