Protect Your Margins. Recover Your Revenue.
Margins are under 3% and shrinking. Denial rates are climbing toward 12-15%. Insurance companies are deploying AI to protect their bottom line—and finding new ways to downgrade, underpay, and deny. It's time to deploy AI to protect yours.
The Financial Reality
77% of providers report increasing denial rates year over year
40% of hospitals operate at negative margins
Millions lost annually to preventable denials by the average health system
$20B+ is spent annually fighting claim denials across the industry
Every denied claim represents revenue you’ve already earned but aren’t collecting. Every manual appeal consumes staff time that could be spent on higher-value work. And every day without modern technology widens the gap between what payers can do and what you can defend against.
It’s Not Just Denials. It’s Death by a Thousand Cuts.
Outright denials are visible and trackable. But the revenue erosion that costs health systems the most often goes undetected:
Clinical validation downgrades
Payers use AI to find opportunities to downgrade DRGs—moving a case from a higher-paying DRG to a lower one based on documentation technicalities. These partial denials often go unworked because the manual effort to challenge each one exceeds the individual recovery amount.
Systematic underpayments
Payers misapply contracted rates, use incorrect fee schedule versions, or fail to honor authorizations. Without systematic post-pay audit, these underpayments become accepted write-offs.
Aggressive audit and clawback activity
Payers conduct post-payment audits and demand refunds on previously paid claims. Without the data and documentation to defend against these audits, health systems return revenue they rightfully earned.
These aren’t isolated incidents—the only defense is technology that can match the scale and sophistication of payer operations.
Measurable Results, Rapid Payback
Overturn 50% More Denials
Reve’s payer-trained AI identifies the true cause of every denial and generates evidence-based appeals that address specific payer criteria. More overturned denials means more collected revenue.
Catch Errors Before They Cost You
Claims Review validates every claim before submission—catching the coding, policy, and documentation issues that guarantee denials. Stop losing money to avoidable mistakes.
Verify Every Payment
Post-pay audit compares every remittance against your contracted rates. Identify underpayments, challenge incorrect adjustments, and recover revenue that would otherwise be written off.
Defend Against Downgrades
Reve identifies clinical validation downgrades and partial denials that most teams don’t have the bandwidth to work. AI-powered review makes it economical to challenge every improper reduction—not just the large ones.
Prevent Surgical Denials
Pre-Surgery Review validates surgical cases at the point of scheduling—before the procedure happens. Prevent the high-dollar denials that hurt most.
Arm Your Negotiators
Contract Copilot provides the granular data your managed care team needs to prove payer non-compliance at the contract level.
10x RCM Team Capacity
AI handles the research, analysis, and documentation. Your team focuses on decisions and exceptions. Process 10x the volume with the same staff.
4-Week Deployment
No lengthy implementation projects consuming IT resources. Reve is live in 4 weeks, delivering value from month one.
Built for Financial Leaders
Compliance & Security
HIPAA-compliant architecture with SOC 2 certification readiness. Complete audit trails. Your data stays protected.
Transparent Pricing
Success-based pricing tied to results. You pay when we deliver recovered revenue. No hidden fees, no implementation surprises.
Measurable Outcomes
Real-time dashboards show what Reve is recovering—Track ROI from day one.
Payer Accountability Data
Reve generates the evidence your managed care and legal teams need—contract non-compliance documentation, underpayment patterns, and denial trend data for payer negotiations.