Claivex tracks every denied and underpaid claim through to a recovered dollar, and ties that dollar to the payer's own remittance line. So "we recovered $X for your clients" is a number you can put in front of a CFO — not a projection.
Your team gets hundreds of denials back a month. The $8,000 Anthem denial gets a letter. The $180 Cigna denial joins the pile. Meanwhile, claims that show as "paid" came in below your contracted rate, and whole employer accounts quietly pay you nothing while your aging report calls it normal.
The tools you can afford show you a list. They don't recover anything, they can't prove a recovered dollar, and they never catch the account that's structurally broken. The tools that do more cost $50,000+/year and are built for hospitals with IT departments. That gap — real recovery, provable, built for billing companies — is Claivex.
Every recovered dollar links to the payer's 835 remittance line and is attributed to the work that earned it. Your recovery number survives an audit. No competitor at this price point can produce the receipt.
Claivex runs on a de-identified Limited Data Set — dates and geography, never names, DOB, SSN, or member IDs. After the Change Healthcare breach, that's the architecture, not a footnote.
Claivex scores outbound claims for denial risk before they're submitted, with the specific fix to make. Stopping a denial beats appealing one — and it's a daily habit, not a one-time audit.
Payer variance and coding signals are labeled intelligence, never revenue. Expired claims count as $0. In a category full of AI tools that overpromised, the number we show you is the one you can trust.
| Capability | What it means | The money |
|---|---|---|
| Proven recovery | Ranked appealable denials + underpayments — each recovered dollar tied to the remittance line that proves it. | Recovered, attributed |
| A/R Collections Intelligence | Authoritative A/R status + detection of whole accounts that have paid you $0 — broken billing hiding as normal aging. | Receivable you're not collecting |
| Pre-bill prevention | Scores outbound claims for denial risk before submission, with the fix to make. | Denials that never happen |
| Prompt-pay interest | Statutory interest payers legally owe on late payments, calculated per state. | Money you're already owed |
| Refund / credit compliance | Overpayments flagged on the CMS 60-day clock. | False-Claims exposure avoided |
| Multi-client dashboard | Every client's denial rate, Revenue Health Score, and recovery in one view. | A portfolio you can manage |
Pull claims from your PM system with our 10-minute guide (eCW, Kareo, athenahealth, AdvancedMD, Tebra). De-identified — no names, DOB, SSN.
If we don't find it, you pay nothing. No implementation, no integration.
Ranked denials, underpayments, stuck A/R and never-paid accounts, payer grades — every finding traced to a source claim.
And catches the next never-paid account at ~$10K instead of $50K — proof attached to every recovered dollar.
in collectible A/R the denial analysis never would have touched.
On the first real eClinicalWorks practice we ran, the A/R layer surfaced three employer accounts that had paid $0 — never-paid, not slow-paid — all traced to a single upstream billing break around one date. Diagnose one claim, likely unlock the rest.
We start with an audit that shows exactly what's recoverable in your data — before any subscription. If we don't find it, you pay nothing. If we do, a simple monthly fee keeps recovering it.
Book a 20-minute call →Send one clinic's de-identified CSV. We'll show you the real number — traced to the source claim — within 48 hours. If we don't find recoverable revenue, you pay nothing.
Start with a de-risked audit →