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Crosby Health

Clinical Appeals Automation

Toolspedia Rating:

(4.1)

Paid

Crosby Health is an AI-driven platform designed to streamline clinical appeals for healthcare providers. By automating the appeal creation, submission, and tracking process, it minimizes administrative workload and enhances the success rate of denied claims. This intelligent automation ensures compliance with legal and medical guidelines, leading to faster and more accurate resolutions.

At the core of Crosby Health’s technology is Apollo, a clinical large language model (LLM) built specifically for revenue cycle management (RCM). Trained on extensive clinical data, Apollo performs precise auditing, charge capture, and denial management. By integrating AI-driven decision-making, Crosby Health helps medical organizations optimize their financial processes while focusing on patient care.

  • AI-Powered Appeal Generation: Automates detailed, well-structured appeal letters.
  • Medical Necessity Identification: Detects and highlights key medical justifications.
  • Compliance Integration: Aligns appeals with clinical and legal guidelines.
  • Unified Payor Submission: Submits appeals to multiple payors from one platform.
  • Automated Tracking: Monitors appeal progress and provides status updates.
  • Instant Notifications: Alerts users on payor decisions in real time.

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