01
Epic & Cerner integrations take 6-18 months
with limited payer visibility
0+
Happy Clients
$0M+
Recovered for Clients
0%
Client Satisfaction
0+
Years Experience
Our Approach
Why Akuvera?
The denial crisis costs US healthcare $260 billion annually. Traditional RCM tools rely on manual workflows and reactive processes. Akuvera represents a fundamental shift: AI-powered, proactive denial prevention and resolution at scale.
$260B
Annual denied claims
65%
Never appealed
63%
Successful with appeals
86%
Preventable denials
The Challenge
What's Behind the Denial Crisis?
Four systemic issues create the perfect storm for revenue leakage in healthcare organizations.
Fragmented Systems
Medicare, Medicaid, and commercial payers all have different, complex workflows.
Unstructured Data
EOBs, PDFs, and scanned documents overwhelm AR teams and automation tools.
Lagging Tech Adoption
Revenue cycle teams are stuck with outdated, manual processes.
Opaque AI Tools
Current AI solutions lack transparency and actionable guidance.
The result?$260B in denied claims annually
Understanding the Denial Crisis
Billions are lost to preventable denials each year a $25B Problem.
"Behind every denial is a patient waiting and a team falling behind."
$25B+ lost yearly to claim denials
$25B Problem
Each denied claim costs ~$44 to rework and delays payment by 45–60 days.
450M denials annually, 15% of all claims
450M Denials
90% preventable, yet 65% never resubmitted.
62% of hospitals still rely on manual denial handling
62% Manual
Staff shrinkage worsens delays and revenue loss.
EHRs lack payer-side visibility and real-time denial intelligence
No Visibility
Current systems cannot see what payers see, leading to blind spots.
Our Approach
How Akuvera
Transforms the EHR Gap
Moving from limited integration to intelligent, payer-side visibility delivering faster insights and real results.
EHR Limitations
- Epic & Cerner integrations take 6-18 months with limited payer visibility
- FHIR APIs don't expose full denial logic or payer remark data
- EHR Systems (Epic / Cerner) → limited view
Akuvera Advantage
- Payer-side intelligence offers faster, richer insights
- Akuvera acts as an EHR-agnostic complement, not a replacement
- Long-term roadmap: integrate via HL7/FHIR once payer dataset scales
- BEYOND EHR: Akuvera AI Layer with payer-side visibility + faster resolution
Operates beyond the EHR no deep integration required
Secure cloud-hostedHIPAA-compliantReal-time analysisDeploys in weeks
The Akuvera Difference
Smarter. Faster. Connected.
Designed for a new era of healthcare efficiency where intelligent automation and human insight work together seamlessly.
Intelligent Workflow Automation
Our decision engine understands context, not just tasks making every process smarter and more adaptive.
Connected Ecosystem
Seamlessly connects across payers, providers, and platforms ensuring your data and operations stay in sync.
Transparent AI
No black boxes. Every action is explainable, traceable, and aligned with your organization’s goals.
Scalable and Secure
Built to handle enterprise workloads with speed, reliability, and compliance at its core.
How Akuvera Works
A simple, proven process to maximise your insurance claim recovery
1
Data Ingestion Layer
Akuvera securely ingests data from multiple sources, including client uploads, EDI connectors, and third-party options ensuring seamless intake for every claim file.
2
Processing & AI Layer
This layer powers the heart of Akuvera's intelligence. Our AI engine parses documents, matches claim data, classifies denials, recommends resolutions, and triggers RPA orchestration for efficiency.
3
Application Layer
Akuvera's core platform enables denial tracking, appeals, auditing, and reporting all in one unified dashboard for revenue recovery teams.
4
Integration & Expansion Layer
Akuvera integrates effortlessly with external systems, EDI connectors, and third-party tools to expand interoperability and enterprise scalability.
See It in Action
Our intuitive platform makes denial management simple and effective
Streamlined Dashboard
Our award-winning platform combines cutting-edge technology with healthcare expertise to deliver unparalleled results.
- Real-time claim status tracking
- Payer-specific appeal strategies
- Automated compliance checks
- Predictive denial prevention
- Custom reporting and analytics
- Integration with major systems
98% Accuracy
AI-powered analysis ensures every claim is optimised
30 Days
Average resolution time
EHR Alignment
Why Akuvera Works Beyond the EHR
Traditional EHR integrations are slow and limited. Akuvera connects directly to payers for faster, richer denial intelligence.
02
FHIR APIs don't expose full
denial logic or payer remark data
03
Payer-side intelligence
offers faster, richer insights
04
Akuvera acts as an EHR-agnostic complement
not a replacement
05
Long-term roadmap
integrate via HL7/FHIR once payer dataset scales
EHR Systems
(Epic / Cerner)
- limited view
→
Beyond EHR
Akuvera AI Layer
Payer-side visibility
+ richer insights
The Solution
Akuvera: An AI-Powered, EHR-Agnostic
Denial Intelligence Platform
Connects directly to payers and clearinghouses to automate denial resolution and accelerate revenue recovery.
Seamless Workflow Integration
- •Works from 837/835 EDI claim & remit files.
- •Connects directly to payer portals and clearinghouses (TMHP | Availity | HISS).
- •Operates independently of EHR integrations no heavy IT lift required.
Intelligent Denial Understanding
- •AI engine classifies denials using payer-specific policies and remark codes.
- •Generates transparent, explainable recommendations not black-box decisions.
- •Continuously learns from denial outcomes to improve accuracy.
Automated Follow-Through
- •Auto-generates appeal documentation and provider responses.
- •Recommends next action: appeal, rebill, or write-off.
- •Integrates output directly into existing RCM workflows for rapid closure.
Modular • Scalable • Payer-Connected
Certified & Trusted for Healthcare Compliance
Built for compliance, security, and reliability.
“Fully compliant with HIPAA standards, protecting patient privacy at every level.”
HIPAA Certification