Denial Shield

An Agentic AI Solution That Stops Denials Before They Happen
CONTACT US TO LEARN MORE
Sample Client Partners
Advanced-Derm
SolarisHealth
rayus
PF
Penn-Medicine
IBJI
Great-Expressions
Firstfertility
AllergyPartners
AbsoluteDental
the-smilist
Stamford
OGI
Maxhealth
eyecare
ERC
Emerus
Duly
WHY LEADING MSOs CHOOSE DENIALSHIELD

Immediate, Measurable ROI

Daily Value Creation With Minimal Expense

Better Adoption Rates

Seamless EMR & Workflow Integration

Rapid, Low-friction Deployment

Highly Customized To Your Organization

Trusted, Secure & Enterprise-ready

Proven & More Impactful Results

DENIALSHIELD PROVIDES PROVEN RESULTS THAT GENERATE IMMEDIATE ROI AND ON-GOING VALUE CREATION

Reduction in Denials

50%+

Breakdown / Avoided Denials

PREVENTING DENIALS ON REVENUE-BEARING CLAIMS 58%
IDENTIFYING UNINTENTIONAL FREE CARE 19%
UNCOVERING INCREMENTAL REVENUE UPLIFT 23%

Financial Impact: ROI begins in month 01.
Value compounds with every claim.

Revenue Realization Uplift

2.5-7.5%+

Investment Return

10x ROI

System efficiency multiplier

Note: Outcomes are based on live client results

v5.2024 // Precision Engine

how denialshield works

REVIEWS EACH CLAIM PRIOR TO SUBMISSION

FLAGS DENIAL RISK IN REAL TIME

PROVIDES PRECISE, ACTIONABLE CLAIM-SPECIFIC CORRECTIONS

FITS DIRECTLY INTO DAILY CLAIM SUBMISSION WORKFLOWS

WHAT SETS DENIALSHIELD APART

PROVIDES BETTER, MORE IMPACTFUL RESULTS

Provides Better, More Impactful Results

Claim-Specific Insights

Real-time, actionable corrections

Agentic Solution

autonomous, on-going learning

Comprehensive Intelligence

Holistic perspective drawing from payer contracts & payer guidelines, company-specific SOPs, clinical notes, etc.

PROVIDES BETTER ADOPTION RATES

Provides Better Adoption Rates

Designed with SCALE's expert RCM services team

Aligns with how billing, coding, and operations teams actually work

Recommendations are precise, trusted, and operationally usable

PROVIDES SEAMLESS WORKFLOW INTEGRATION

Provides Seamless Workflow Integration

Embedded directly into existing claim submission workflows and EMR system

Highly customized to each client's specialty mix, payers, and SOPs

No rip-and-replace of EMRs or clearinghouses

Cloud & Compliance
Data Protection
Authentication & Access
Encryption Standards
Certifications & Transfer
Cloud Infrastructure
Enterprise Cloud

Cloud Service & Security Compliance

Tier III US-Based Cloud Provider (Azure): Compliant with GDPR, HIPAA. Offers built-in threat protection, identity management, and regular security updates.

Data Security
Secure VDI

Data Protection & Storage

Cloud-Native Secure Access for Offshore Teams. Offshore teams securely interact with US-based data via VDI without moving data. No Data Transfer to Offshore Systems.

Identity Management
Identity Shield

Authentication & Access Control

Two-Factor Authentication: Required for accessing email, corporate accounts and cloud services. Principle of Least Privilege (PoLP): Users are granted minimal access needed to perform their role. Geofencing + Device Fingerprinting Two-Factor Authentication.

Data Encryption
AES-256 Bit

Encryption & HIPAA

Encryption: Data is encrypted at rest and in transit, covering databases, storage, emails, and transfers. HIPAA Compliant.

Compliance Standards
ISO Standards

Compliance & Secure Transfer

ISO-27001 & ISO-9001 Certified: Ensures adherence to international security standards. Secure Data Transfer Mechanisms: All data transfers are conducted via secure channels, including SFTP and VPN tunneling.

Built To Meet The Security And Compliance Requirements Of Healthcare Enterprises

Revolutionary AI Solutions

Features Designed for Success

  • Agentic AI Pre- and Post-Denial Agents:
    DenialShield employs specialized AI agents for both pre- and post-denial stages. Pre-denial agents prevent errors before they happen, while post-denial agents recover lost revenue with speed and precision.
  • Real-Time Claim Monitoring :
    No more waiting days to find out about issues. DenialShield gives providers a live view of every claim’s journey, reducing uncertainty and boosting operational control.
  • Dynamic Rule Adaptation :
    Payer rules change constantly. DenialShield updates its rule sets automatically, so compliance never falls behind.
  • Reduction in Preventable Errors :
    By eliminating nearly 46% of preventable denials, DenialShield saves providers not only money but also time and labor resources.
DenialShield Tech

The Technology Behind DenialShield

At its core, DenialShield runs on agentic AI-a class of artificial intelligence that can autonomously complete tasks, adapt strategies, and learn from every outcome. Unlike static rules engines, DenialShield evolves continuously, incorporating machine learning, natural language processing, and predictive analytics to anticipate and prevent denials.

It is fully compliant with HIPAA, ISO 27001, and other global data protection standards. Every data exchange is encrypted, and audit trails are maintained for regulatory confidence.

DenialShield Tech

The Technology Behind DenialShield

At its core, DenialShield runs on agentic AI-a class of artificial intelligence that can autonomously complete tasks, adapt strategies, and learn from every outcome. Unlike static rules engines, DenialShield evolves continuously, incorporating machine learning, natural language processing, and predictive analytics to anticipate and prevent denials.

It is fully compliant with HIPAA, ISO 27001, and other global data protection standards. Every data exchange is encrypted, and audit trails are maintained for regulatory confidence.

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