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Clarity in Every Medical Bill

AI-Powered Medical Billing Intelligence

Detect billing errors, reduce claim denials, and restore trust in healthcare payments — before submission.

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Built for Providers • Patients • Revenue Cycle Teams

The billing problem is massive. The fix doesn't have to be.

Healthcare billing errors cost the U.S. system over $100B annually. Acuvera catches them before they become denials.

Without Acuvera

  • CPT/ICD coding mistakes go undetected until denial
  • Hidden fees and balance-billing inconsistencies
  • High denial rates from preventable submission errors
  • Manual audits are slow, expensive, and error-prone

With Acuvera

  • Automated line-item error detection before submission
  • Plain-English explanations of every charge
  • AI-recommended corrective actions and next steps
  • Complete audit trail for compliance and review

What Acuvera does

Four pillars of billing intelligence — working together to protect revenue and build patient trust.

Error Detection

Catch CPT/ICD mismatches, duplicate charges, upcoding flags, and modifier issues — automatically.

Denial Prevention

Predict likely denial reasons before submission. Pre-submit checks reduce rework and revenue leakage.

Payment Integrity

Identify under- and overpayments, fee-schedule variances, and balance-billing inconsistencies.

Patient Clarity

Plain-English explanations of every charge — plus what to ask your insurer or provider.

How it works

From upload to action in minutes — not days.

Step 1

Upload / Connect

Upload a bill, EOB, or connect your billing system. PDF, image, or structured data.

Step 2

Analyze

AI reviews every line item against coding rules, payer policies, and historical patterns.

Step 3

Explain

Get a clear, actionable report — findings, risk scores, and plain-English explanations.

Step 4

Act

Recommended corrections, appeal templates, and a compliance-ready audit trail.

analysis-report.pdf

Findings

  • Duplicate charge: CPT 99213
  • Modifier 25 missing on E/M
  • ICD-10 specificity: Z00.00

Explanation

CPT 99213 appears twice on the same date of service for the same provider. This is typically denied as a duplicate. The second instance should be reviewed for bundling or removed.

Next Steps

  • Remove duplicate CPT 99213
  • Add modifier 25 to E/M code
  • Verify ICD-10 with documentation

Security & Privacy

Built for healthcare from day one. Your data stays yours.

Encryption at rest & in transit

All data encrypted with AES-256 and TLS 1.3.

Least-privilege access

Role-based access controls. Users see only their data.

Data minimization

We process only what's needed and discard the rest.

Audit logs

Every action is logged for compliance review.

Consent-first AI

We ask permission before sending data to any third-party AI service.

Compliance roadmap

SOC 2 (Planned) · HIPAA-ready controls (as applicable).

Consent-first AI: We never send your data to external AI providers without explicit permission. You control what gets analyzed.

Outcomes that matter

Measurable impact across the revenue cycle.

60%
Target

Reduction in claim rework

Pre-submission error detection catches issues before they become denials.

Target

Faster review cycles

Automated analysis replaces hours of manual line-item review.

95%+
Example

Clean claim rate

First-pass resolution improves when errors are caught early.

4.8/5
Pilot

Patient clarity score

Patients understand their bills and know what questions to ask.

Simple, transparent pricing

Start free. Scale when you're ready.

Patient

Free

For individuals reviewing their own bills.

  • Scan a medical bill
  • Plain-English charge explanations
  • Export questions for your provider
  • 1 bill per month
Most Popular

Clinic / Practice

$99/ seat / month

For billing teams and revenue cycle managers.

  • Unlimited bill analysis
  • Denial prediction & pre-submit checks
  • Team analytics dashboard
  • Batch upload & API access
  • Priority support

Enterprise

Custom

For health systems and large organizations.

  • Everything in Clinic
  • SSO & SAML integration
  • Custom SLAs & uptime guarantees
  • EHR/RCM integrations
  • Dedicated success manager

Pricing is indicative and subject to change. Contact sales for final quotes.

Frequently asked questions

Have a different question? Reach out.

Revenue integrity should be automatic

Schedule a demo and see how Acuvera fits into your revenue cycle — in under 15 minutes.