Recover the revenue your denials are quietly costing you

ClaimGuard automates EOB processing for small medical practices. AI classifies denials and drafts professional appeals so your team can focus on patients, not paperwork.

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Denial overview

Northside Family Care

Appealed

Revenue at risk

$48,200

Recovered

$31,750

Denial rate

12.4%

Appeals open

18

Recovery trend

+65%

Latest denial

Appeal

CO-197 · Prior auth missing

Aetna · Claim #CLM-20418

Appeal letter drafted automatically

Your biller is losing hours a week to denials

Small practices lose $80K–$150K a year to denials that are too slow, too manual, or too easy to miss.

Denials pile up faster than you can work them

Every denied claim is revenue sitting on the table. Without a system, the backlog grows and dollars quietly age out.

Figuring out the root cause is slow, manual work

Decoding denial codes and EOB language eats hours your billers don't have — and the reason often gets misread.

Appeal deadlines slip past unnoticed

Payer filing windows are short. Miss one and the claim is gone for good, no matter how strong the case was.

From denial to recovery in minutes

Forward EOBs or drag-and-drop PDFs — AI extracts, classifies, and drafts appeals so your biller reviews in minutes instead of hours.

1

Forward EOBs or upload PDFs

No new billing system. Drop in the denial or EOB PDFs you already receive by mail, fax, or portal.

Upload

AetnaCignaUHC
2

AI extracts + classifies the denial

Get a plain-English reason for every denial, a recommendation to appeal, resubmit, or write off — and a ready-to-edit appeal letter.

Denial analysis

CO-197

Prior auth missing

Appeal

CO-45

Over fee schedule

Resubmit

PR-1

Deductible

Patient owes
3

Review, submit, and track recovery

Review the AI-drafted letter, submit with one click, and track every appeal through to payment. Never miss a deadline.

Recovery overview

65%

of denied revenue recovered, up from last quarter

Cut appeal writing from 45 minutes to 5

Built for small-practice billing teams drowning in denials.

Instant denial analysis
Every denial code and EOB turned into a plain-English reason your biller understands in seconds.
AI-drafted appeal letters
Professional, payer-ready appeals drafted instantly. Review, edit, and submit in under 5 minutes.
Deadline + response tracking
See drafts near their filing deadline and submitted appeals past the expected payer response window — nothing slips through.
Denial analytics by payer
Spot which payers and categories cost you the most so you can fix root causes and prevent future denials.
Recovery tracking
Know exactly how much denied revenue you've recovered this month and what's still at risk.
No new billing system
Works with the EOB PDFs you already get from payers. Drag-and-drop or forward by email.

Real results from denial automation

What ClaimGuard delivers for billing teams.

0%

Average denial recovery rate

0 min

From EOB upload to appeal draft

0+

Hours saved per biller each week

Illustrative outcomes based on the ClaimGuard workflow.

Recover more revenue with less overhead

One simple plan with everything your billing team needs to work denials end to end.

ClaimGuard

For small medical practices
and billing teams

$299 per practice / month

Includes all features, updates, and future improvements.

  • Unlimited EOB & denial PDF uploads
  • Automatic denial analysis and root-cause explanations
  • AI-drafted appeal letters, ready to review
  • Appeal deadline tracking with a Needs Action view
  • Denial analytics by payer and category
  • Revenue-at-risk and recovery tracking
  • Email support

ClaimGuard works alongside the billing system you already use — bring the EOBs you receive today and start recovering denied revenue without changing your workflow.

Frequently asked questions

Everything billing teams ask before getting started.

How does ClaimGuard know why a claim was denied?

Upload the EOB or denial PDF and ClaimGuard parses it, extracts the denial codes, and uses AI to explain the root cause in plain language — then recommends whether to appeal, resubmit, or write off.

Do I have to change my billing system?

No. ClaimGuard works alongside your existing workflow. You bring the EOBs you already receive; we handle the analysis, appeal drafting, and tracking.

Are the appeal letters ready to send?

Each appeal is drafted automatically with the relevant claim details and denial reasoning. Your team reviews and edits in the built-in editor before submitting — you stay in control.

How does it help us hit appeal deadlines?

Denials that need attention surface in a Needs Action view with the days remaining before each filing deadline, so nothing slips past the payer's window.

Is our patient data secure?

Claims data stays within your ClaimGuard workspace and is used only to analyze denials and draft appeals for your practice.

Start recovering revenue

See ClaimGuard on your denials

Request a demo and we'll show you how much of your denied revenue ClaimGuard can help you recover.

No credit card required. We'll only use your email to set up the demo.