Cofactor
Claimed
Cofactor
Cofactor AI Denials Suite is an AI-driven platform designed to automate the insurance denial appeal process for healthcare providers, especially for retroactive denials and audits. The system integrates with the EHR to extract relevant data and generate appeal letters tailored to each case, significantly reducing the time and manual effort required for denial management.
Product Overview
Security and Compliance Certifications: SOC 2 Type 2, HIPAA
Cofactor AI Denials Suite is an AI-driven platform designed to automate the insurance denial appeal process for healthcare providers, especially for retroactive denials and audits. The system integrates with the EHR to extract relevant data and generate appeal letters tailored to each case, significantly reducing the time and manual effort required for denial management. By leveraging AI to analyze clinical notes, legal requirements, and past appeal outcomes, Cofactor AI helps hospitals and clinics improve their revenue cycle by recovering payments.
Customers Served
Categories
Company Info
HQ Location
Chicago, Illinois
Founded
2023
Headcount
1-10
Total Funding
$4M
Latest Round
Seed
Latest Round
04/25/2024
Company Socials
Pricing
Contingency based pricing
Vendor’s Notes
Use Cases
Healthcare providers use Cofactor to automagically generate appeals backed by clinical evidence, coding and standard of care guidelines, and peer-reviewed studies required to fight back against DRG downgrades, readmission denials, clinical necessity denials, RAC audits, and retrospective reviews.
Core Differentiators
Cofactor AI creates simpler, smarter appeals for complex health insurance denials. Our AI can identify discrepanies between claims, documentation, payer policies, and facility contracts to generate appeals in moments.
Demos
Integrations
See all (6)Adonis
Claimed
Adonis Intelligence
Company Info
Founded: 2022
Headcount: 51-200
Customers
Verified Customers: 6
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System
Product Overview
Security and Compliance Certifications: SOC 2 Type 2, HIPAA
Adonis Intelligence provides actionable alerts, predictive analytics, and real-time reports to optimize revenue outcomes. The system integrates with EHR, billing, and practice management systems to enhance insights on collections, accounts receivable, claim denials, and payer performance. The platform helps healthcare organizations identify revenue roadblocks, prevent denials with real-time alerts, and improve cash flow with smart prioritization and comprehensive KPI tracking.
Other Categories
Arrow
Arrow
Company Info
Founded: 2020
Headcount: 11-50
Customers
Customers Served: Hospital / Health System, Ambulatory Practice
Product Overview
Security and Compliance Certifications: HIPAA
Arrow is a healthcare payment platform that provides solutions for both healthcare providers and health plans. Its key features include claims acceleration, predictive analytics, real-time claim status updates, and denial management for providers, allowing faster and more accurate payments. For health plans, Arrow offers automated claim adjudication, real-time payment facilitation, and enhanced payment integrity.
Other Categories
Change Healthcare
Change Denial and Appeal Management
Company Info
Founded: 2007
Headcount: 5001-10000
Customers
Customers Served: Hospital / Health System, Ambulatory Practice
Product Overview
Security and Compliance Certifications: SOC 2 Type 2, HIPAA
Change Healthcare Denials and Appeals Management offers services and technology to help healthcare providers manage and reduce claim denials. It includes identifying and analyzing the root causes of denials, handling appeals with expert assistance, and managing payer audits. It features detailed reporting to provide insights into denial trends and recommendations for process improvements, aimed at enhancing clean claim rates and reducing the administrative burden on staff.
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