AI-powered denials management
Process denials, generate Revenue Management Tasks, and publish corrected claims to clearinghouses automatically. Stop chasing paperwork — start recovering revenue.
Denials waste hours and delay revenue
Teams chase paperwork, rekey data across systems, and miss resubmission windows. Every denied claim is revenue sitting on the table — and the longer it takes to resolve, the less likely you are to recover it.
Flexbone ingests denial letters, extracts key data, creates structured Revenue Management Tasks, and pushes corrected claims back to clearinghouses — automatically.
Denials through root cause prevention
Cash recovery with automated resubmission
Visibility into every claim
From denial to recovery in five steps
Flexbone automates the entire denials lifecycle — from ingestion to resubmission — so your team focuses on exceptions, not paperwork.
Ingest Denials
Automatically ingest denial letters from PDFs, faxes, ERA/835 files, and EDI channels. No manual scanning or data entry required.
AI Extraction
OCR and NLP extract payer name, claim details, denial reason codes, and required actions from unstructured documents — even handwritten notes and low-quality faxes.
Create Revenue Management Tasks
Structured RMTs are created for each denial, classified by reason code, payer, and priority. Tasks are routed to the right team member automatically.
Automate Corrections
AI identifies the correction needed — missing modifier, auth number, diagnosis code — and prepares the corrected claim for resubmission.
Publish to Clearinghouse
Corrected claims are pushed directly to your clearinghouse. Status updates sync back in real time with a full audit trail.
Built for revenue cycle teams
Every capability is designed to reduce manual work and recover revenue faster.
OCR + NLP Document Parsing
Extract structured data from denial letters, EOBs, and remittance advices — regardless of format. Handles PDFs, faxes, scanned images, and EDI files.
Auto-Classification of Denial Reasons
AI categorizes denials by reason code, payer, and root cause — surfacing patterns that help you prevent future denials, not just fix current ones.
RMT Creation & Routing
Structured Revenue Management Tasks are created automatically and routed to the right person based on denial type, payer, and priority level.
Clearinghouse Publishing
Corrected claims are pushed directly to your clearinghouse with all required attachments and documentation. No manual rekeying.
Real-Time Dashboards & Audit Trail
Full visibility into denial volume, recovery rates, aging, and root cause trends. Every action is logged with timestamps for compliance and performance tracking.
Recover revenue automatically
AI-powered denials management with intelligent appeals, root cause analysis, and prevention workflows — built for healthcare revenue cycle teams.