Transform Your Revenue Cycle From Doctor's Notes to Payment

BeyondClaims revolutionizes healthcare revenue cycle management, delivering $15M-$25M annual savings per hospital through intelligent automation that spans from clinical documentation to final payment collection.

Complete Revenue Cycle Transformation

From the moment a physician documents patient care to the final payment collection, BeyondClaims optimizes every step of your revenue cycle with intelligent automation and machine learning.

Clinical Documentation

Extract and optimize clinical data from physician notes and medical records

Intelligent Processing

AI-powered claims creation, denial management, and underpayment detection

Revenue Recovery

Maximize reimbursements and reduce revenue leakage across all payers

Intelligent Claims Creation

1

Payer-Specific Intelligence

BeyondClaims learns exactly what each payer requires for every procedure. The same surgery gets different claim formatting for different insurers - we give them exactly what they want upfront.

2

Lightning-Fast Processing

Complex claims that typically take weeks are processed in minutes. Our AI understands clinical context and payer requirements simultaneously.

3

Proactive Compliance

Instead of reactive corrections, we prevent denials by automatically adapting to each payer's evolving requirements and preferences.

Processing Speed Comparison

Traditional Processing 2-3 weeks
BeyondClaims Processing 3-5 minutes

Even the most complex multi-procedure claims

Denial Management Revolution

Transform your biggest revenue cycle challenge into a competitive advantage with intelligent, lightning-fast denial processing.

12-15%

Industry standard denial rates

$25-50

Cost to process each denial

Millions

Lost annually to denial processing

BeyondClaims Solution

Process Every Denial

We process every denial regardless of dollar amount - even small claims get attention because volume adds up.

Seconds, Not Days

Denial analysis and corrected claim preparation completed in seconds, with 837 ready for immediate resubmission.

🧠

Machine Learning Advantage

Every denial teaches BeyondClaims to submit better future claims. Your denial rate drops from 12-15% to 3-6% over time.

⏱️

Minutes to Resubmit

From denial received to corrected claim resubmitted in minutes, not the industry standard weeks.

Denial Rate Transformation

Before BeyondClaims 12-15%
After BeyondClaims 3-6%

Results typically achieved within 6-12 months

Underpayment Recovery

Hospitals lose up to 5% of annual revenue to underpayments - money that's rightfully yours but goes undetected by traditional systems.

The Hidden Revenue Loss

Average Hospital Revenue $300M annually
Potential Underpayment Loss Up to $15M (5%)
Currently Undetected Most hospitals miss this

Systematic Detection & Recovery

1

Contract Intelligence

BeyondClaims maintains real-time awareness of your payer contracts, fee schedules, and payment terms to identify discrepancies instantly.

2

Pattern Recognition

Advanced AI identifies systematic underpayment patterns that human reviewers typically miss, even in complex multi-service encounters.

3

Automated Appeals

Generate documentation and appeals automatically with supporting evidence, reducing manual work while maximizing recovery success rates.

4

Continuous Monitoring

Ongoing surveillance of all payments ensures new underpayment patterns are caught immediately, not months later during manual audits.

Predictable Pricing Advantage

Unlike traditional RCM solutions, BeyondClaims uses flat-rate pricing that aligns with your budget planning and operational goals.

Traditional RCM Pricing Problems

Percentage-based fees (3-8% of collections)
Per-claim processing charges
Unpredictable monthly costs
Incentive to avoid small-dollar claims
Budget planning challenges

BeyondClaims Flat-Rate Benefits

Flat monthly rate - predictable costs
No per-claim fees - unlimited processing
Budget certainty - plan with confidence
Every claim processed - no dollar minimums
Aligned incentives - we succeed when you do

Why Flat-Rate Pricing Works

We're confident enough in our technology to charge a predictable rate regardless of your claim volume. This means we process every denial, every underpayment, and every claim with equal attention because our success is measured by your operational efficiency, not transaction volume.

Real-World Impact

See how BeyondClaims transforms revenue cycle performance for a typical $300M annual revenue hospital system.

Current State: Revenue Leakage

Annual Revenue $300,000,000
Denial Losses (13.5% avg) $40,500,000

Industry standard denial rate

Underpayment Losses (5%) $15,000,000

Undetected by current systems

Total Annual Loss $55,500,000

Additional Hidden Costs:

  • • Manual denial processing: $2M+ annually
  • • Delayed cash flow from slow resubmissions
  • • Staff overtime for claim management
  • • Consultant fees for revenue cycle audits

With BeyondClaims: Revenue Recovery

Denial Rate Reduction 13.5% → 4.5%

Recovered: $27M annually

Underpayment Recovery 85% detected

Recovered: $12.75M annually

Processing Cost Savings $1.8M annually

Automated vs manual processing

Total Annual Recovery $41,550,000

Additional Benefits:

  • • Predictable flat-rate pricing
  • • Faster cash flow (minutes vs weeks)
  • • Staff redeployment to higher-value tasks
  • • Continuous improvement through ML

Return on Investment

$41.6M

Annual Recovery

1,380%

ROI in Year 1

3-6 months

Payback Period

Results based on typical implementation with flat-rate pricing model

Ready to Transform Your Revenue Cycle?

Join forward-thinking healthcare organizations that have already recovered millions in lost revenue with BeyondClaims.

15-25M

Annual savings per hospital

3-6%

Target denial rate achievement

Minutes

Claim processing time