Agentic AI · Claim-Denial Prevention

DenialShield: Client Case Studies

Two live deployments. Two EMRs. Measured, live results — not projections.

SCALE OVERVIEW

Overview of SCALE’s Technology Solutions

Agentic AI RCM Optimizer

A next-gen unified platform engineered for MSOs. Built on autonomous intelligence to Transform revenue performance from registration to reimbursement. Each module operates autonomously while sharing intelligence across the ecosystem for end-to-end revenue cycle optimization.

Pre-Service

FrontDeskShield

AI-Driven Front-End Automation & Access Intelligencei

Coding & Billing

RevenueShield

AI Coding, Charge Capture & Revenue Integrity

Pre-Submission

DenialShield

AI-Powered Denial Prevention & Resolution

Intelligence

Advanced Analytics

AI-Powered Enterprise Performance Intelligence

TWO LIVE DEPLOYMENTS · AT A GLANCE

Different EMRs. Different specialties. The same denial curve — bent.

Case Study 01

Multi-Site MSK Group

EMR: eClinicalWorks (eCW)

−58.6%

indexed denial-rate reduction vs. baseline

Case Study 02

Multi-Site Cardiology Group

EMR: athenahealth (Athena)

5.0% → 2.9%

Denial rate at DenialShield pilot sites vs. baseline (~42% reduction)

Case Study 01 · Multi-Site MSK Group

The denial curve, bent 59% below baseline

EMR eClinicalWorks
Indexed Denial-Rate Reduction vs. Baseline
📈
−58.6%
indexed denial-rate reduction vs. baseline
Deepening month over month

−20.7% → −58.6% across the period

Pre-bill, not appeals

Flagged and fixed before submission

Case Study 02 · athenahealth

Denial rate: Overall Network vs. DenialShield Pilot Sites

Bars: overall network denial rate. Orange line: claims under DenialShield. Baseline = CY 2025 average; data as of Jul 1, 2026.

Overall network
Under DenialShield
−42% vs. baseline · Claims at DenialShield pilot sites denied at 2.9% (May), which is nearly half the 5.0% rate of the rest of the network.

Bend your denial curve before claims leave the door.

These materials include certain statements, example results achieved, estimates, projections, and other forward-looking statements (collectively, the “Statements”). All Statements are provided for general informational, educational, and administrative purposes only and do not constitute guarantees of performance or outcomes. Past results and illustrative examples are not indicative of future results, and actual events or outcomes may differ materially from any predictions, projections, or prior results presented. Actual results for any organization or engagement depend on business, operational, and situation-specific circumstances, many of which are beyond the control of the Company and SCALE. Accordingly, no assurance can be given that any Statements, forecasts, or anticipated results will be achieved.