Introducing Healthcare Claims Intelligence

Last year, the average hospital delivered $150M in patient care services.

But the hospital only got paid for $139.5M.

That's $10.5M in lost revenue hemorrhaging from denied claims—part of the industry-wide crisis where 7% of all patient care services remain unpaid while hospitals postpone critical investments and staffing decisions.

Pinnacle recaptures $7.9M of that hemorrhaging revenue—transforming denied claims into critical operating capital for your strategic priorities.

HIPAA Compliant
FHIR Native
Enterprise Security

The Beyond-AI Solution Architecture

Our integrated approach eliminates preventable denials through intelligent automation

Pinnacle Platform

The autonomous business intelligence platform that powers healthcare claims recovery through advanced AI and predictive analytics.

Learn More

BeyondClaims

Healthcare-specific application within Pinnacle that prevents claim denials through six integrated engines and systematic logic remediation.

Learn More

Calculate Your Claims Recovery ROI

Discover the potential financial impact Pinnacle can deliver to your hospital

5K 400,000 1.5M

Annual Claims Billed

$100,000,000

Pinnacle A/R Recovery

$5,250,000

Approximately 75% of your Outstanding Claims A/R

Outstanding Claims A/R Gap

$7,000,000

7% of total claims are denied and never resubmitted, resulting in accounts receivable write-offs

3-Month Recovery

$1,312,500

ROI (vs $10K investment)

131:1

Projected Results by Hospital Size

Real-world projections based on typical hospital configurations and denial patterns

300-Bed Community Hospital

$400M Annual Claims

Challenge: Limited coding staff, high MA volume

Staff Time Savings 45%
Projected Annual Recovery $8.7M
ROI 22:1

500-Bed Regional Medical Center

$600M Annual Claims

Challenge: 15% MA denial rate, complex cases

Coding Denial Reduction 62%
Projected Annual Recovery $12.8M
ROI 32:1

800-Bed Academic Medical Center

$1.2B Annual Claims

Challenge: Complex procedures, modifier errors

ROI Achieved 18x
Projected Annual Recovery $23.1M
Payback Period 45 days

Healthcare Intelligence Resources

Download our latest research and insights on healthcare claims optimization

AI vs. Healthcare: The Denial Wars

How Healthcare Providers Are Hemorrhaging $43 Billion Annually to AI-Driven Denial Tactics and the Strategic Defense Systems That Can Stop the Bleeding.

Claims Intelligence Report

Industry benchmarks and AI-driven insights for healthcare claims processing and denial prevention.

Download PDF

AI in Healthcare Finance

How autonomous business intelligence is transforming healthcare revenue cycle management.

Download PDF

Enterprise Security & Compliance

Industry-leading security features designed for healthcare's unique requirements

HIPAA Compliant

Exceeds regulatory requirements with zero PHI exposure risk

FHIR Native

Seamless integration with existing systems—no IT disruption

Enterprise Security

On-premises deployment with end-to-end encryption—your data never leaves your control

Limited Early Adopter Opportunity

Be among the first 10 hospitals to implement Pinnacle and get:

3 months of unlimited processing

$10K total

Expected recovery in those 3 months

$1.97M+

ROI in your first quarter

197:1

Then continue at our standard monthly rate

This early adopter program ends once we hit capacity.

Secure Your Spot Now

Ready to Transform Your Revenue Cycle?

Let's calculate your exact payment gap. Want a 20-minute ROI breakdown?

Executive Contact

[email protected]

Implementation

2-4 week timeline

Results

Visible in 30-90 days