AI catches what your team misses. A person who does this for a living catches what AI misses. Revenue you already earned, worked back claim by claim.
Up to 65% of denied claims are never reworked or appealed.
That's money you already earned, leaking out every month. We work it back.
The patient was seen. The diagnosis was made. The claim was filed.
Then it comes back denied.
And it sits there. In a queue. In a spreadsheet. In someone's "I'll get to it Friday" folder. Friday becomes next Friday. Next Friday becomes next month. Collection rates drop sharply past 90 days. After 120, most practices just write them off. Revenue you earned but will never touch.
This isn't a software problem. Your EHR works. Your clearinghouse works. The problem is there aren't enough hours in the day for your team to work a denial queue, submit prior auths, call insurers, and keep the practice running.
So the money leaks out. Every month. Quietly.
Pure AI companies hallucinate CPT codes and submit bad appeals. Pure VA companies can't keep up with volume. We do both. Together.
Together: Denials get worked. Prior auths get submitted. Claims get paid. Your team goes home at 5.
Concern: "Will this replace my biller?"
No. Your biller keeps their job. We work the queue they don't have hours for, and nothing goes out without human review and your sign-off.
Concern: "What if the AI makes mistakes?"
Every high-stakes appeal gets human review before it reaches you. The AI does the grunt work. A person catches the exceptions. Nothing ships without your sign-off.
Concern: "Is this just another AI hype product?"
Most "AI billing" tools are chatbots with a stamp: nobody catches the wrong code before it ships. Pure-human services can't handle the volume. We pair AI speed with human judgment. See a sample analysis ↓
Through our secure upload portal. It is encrypted and access-logged, and it goes live only after our BAA is countersigned. Never by email. If you don't know where your 835 files live, we'll find them together in 5 minutes on a call.
AI sorts every denial. A specialist reviews every high-stakes claim. You get ready-to-submit appeal letters, usually within 3-5 business days.
Final sign-off is yours. About 10 minutes per week of your time. Works with any system: Athena, Kareo, AdvancedMD, Epic, eClinicalWorks, and anything else that exports 835s (they all do).
Nothing changes for your staff. No retraining, no migration, no new tools to learn. The appeals arrive ready-to-submit; your team just approves and sends.
You're already losing money on unappealed denials. The question isn't whether you can afford this. It's whether you can afford to keep losing it.
Cancel anytime. No annual contracts. If we're not finding money, fire us.
For comparison: a full-time denial specialist hire runs $37.5-50K/year in salary alone (plus benefits and management), and each manual appeal costs about $43 and 45-70 minutes of staff time. Your own denial volume, verified on the analysis call, is the number that matters.
Not ready to commit? Start with a full analysis of your denial queue. Every appealable dollar, quantified and reviewed by a human, within 72 hours. If you start a sprint within 30 days, the full $497 is credited toward your first month. And if the X-Ray finds less than one month's fee in appealable denials, we refund it in full.
We're early, and we say so. The first three practices get the full sprint at half price for the first 90 days. In exchange: permission to share your (anonymized) recovery numbers once results land. Same guarantee, same terms, honest trade.
Flat monthly invoice, billed after your first month (card or ACH). No setup fees. No percentage of collections, ever. No annual contract. Cancel anytime; if we're not finding money, fire us.
If we don't recover at least 2x your monthly fee (measured in dollars payers actually paid on appeals we prepared, tracked in your Recovery Ledger) within 90 days of your first appeal submission, your next 2 months are free.
One cooperation requirement: submit the prepared appeals we deliver within 30 days. That's it. No clock-pause clauses, no hidden conditions.
"Recovered" means a payer-PAID dollar on a previously denied claim, appealed with a letter we prepared, confirmed in your remittance data. Guarantee applies to practices with $10K+/month in denied claims (below that, the target scales proportionally). Applies to pilots on the same terms, measured against the pilot fee actually paid.
This is output from our parser running on a synthetic 835 remittance file, built from real CARC-code distribution data. It's the same analysis we run on your data: no practice's actual claims, no PHI, no hypothetical testimonials.
61 of 89 denied claims were appealable. $31,400 sitting in the queue, none of it being worked.
This is the kind of analysis we run on your denial data. Free. Before you pay a cent.
Yes. We operate under a signed BAA (Business Associate Agreement) before any 835 file is shared; nothing moves before it's countersigned. All data is encrypted in transit and at rest, and files reach us only through our secure, access-logged upload portal. We are a HIPAA Business Associate under 45 CFR 160.103.
No. We work alongside your existing biller; nothing about their role changes. We take the denial queue nobody has hours to work, and nothing goes out without their eyes or yours on it.
On the initial call (30 minutes), we walk through exactly what we'll look for in your denial data and how the recovery math works for a practice your size. Once you share an 835 file through our secure portal under BAA, we categorize every denial within 72 hours. First appeals are typically ready within 3-5 business days. Recovery depends on payer response times (30-45 days average).
Every high-stakes appeal gets human review before it reaches you. The AI does the first pass. A person catches what the AI gets wrong. You do final sign-off before anything is submitted. Nothing ships without your approval.
Works alongside Athena, Kareo, AdvancedMD, Epic, eClinicalWorks, and any system that exports 835 remittance files. No migration. No retraining your staff. If your system generates 835s (and it does), we can work with it.
No catch, and no fine-print maze. If we don't recover at least 2x your monthly fee (in dollars payers actually paid on appeals we prepared) within 90 days of your first appeal submission, your next 2 months are free. The only requirement: submit the appeals we deliver within 30 days. "Recovered" means payer-paid, confirmed in your remittance data. One scope note: the 2x target applies to practices with $10K+/month in denied claims (we verify that together on the call); below that it scales proportionally.
OmoiOS is run by Kevin Hill, an AI infrastructure engineer who has spent his career building production AI systems (workforce platforms, multi-tenant SaaS). You work directly with the person building the AI, not an account manager. We cap at 5 concurrent practices so every appeal queue gets personal review. Book a call and meet the person you'd actually be working with.
Book a 15-minute denial analysis. We look at your actual denial data together, on the call. If the numbers don't make sense, we part as friends.
Book your denial analysis call
