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Denials Management

Beat AI Denials With AI Appeals

Is your team drowning in denials? Payers are using AI to automatically reject claims faster than ever, and it’s crushing your bottom line—especially those tricky DRG and patient-type downgrades. We’ve got your back.

We use the power of AI and human expertise to get your claims paid. Our proprietary platform, Compass, works alongside our team of attorneys, clinicians, and data scientists to systematically create winning appeals. Best part? We only succeed when you do.

Aspirion's Services

Partnership Powered by Results

Improved Appeal Outcomes

90% +

Day-1 clinical denials overturn rate

Increased Yield

40%

Expected reimbursement yield increase

Optimized Collections

15%

More cash collected than competitive solutions

How We Deliver More

We provide award-winning denial management that gets results. While others are still planning their AI strategy, we’re already using AI and ML technology to overturn denials across all payers—commercial, government, MCOs, and third-party. Our proven approach maximizes recovery for every claim type. Partner with us for a single, powerful solution that helps you capture the revenue you’ve earned.

Tech-Enabled Workflow

Our team streamlines complex reimbursements using our cloud-based proprietary platform that helps decode trends into insights and enhances the patient experience by offering more convenient ways to gather patient information.

Strategic AI Investment

We invest heavily in AI technology to address the growing volume of unworked and partial denials—leveling the playing field with healthcare insurance companies by effectively proving medical necessity and securing rightful payments.

Cutting-Edge Technology

Our AI platform leverages large language models (LLMs) to analyze lengthy medical records and managed care contracts, generating evidence-based appeals—including DRG and patient-type—and allowing our experts to focus on review and refinement.

Unmatched Expertise

We bring unmatched depth of expertise through our multidisciplinary team of more than 180 attorneys & legal professionals, 80 clinicians, 900 claims specialists, and 35 AI engineers—all focused on maximizing your denials recovery.

Dedicated Account Management

Your dedicated client success director proactively drives your results through personalized support—from strategic implementation and team training to continuous performance optimization and data-driven insights.

Elite Data Security Standards

We demonstrate our commitment to protecting your healthcare data with the most stringent industry-defined risk and compliance requirements via our HITRUST Risk-based, 2-year (r2) Certification.

Innovative and Award-Winning

2024 Best in KLAS Denials Management Services
2022 Best in KLAS

Ranked Best in KLAS for Denials Management, we deliver unmatched capabilities by combining an industry-leading team of 180 attorneys/legal professionals, 80 clinicians, and 900 claims specialists with powerful AI technology supported by our own data scientists.

From commercial and government to MCO and TPL denials, our integrated approach of human expertise and advanced technology ensures successful appeals and your rightful reimbursement.

Resolved Accounts

in Total Collections

We have an incredible rate with Aspirion. The firm definitely doesn’t nickel-and-dime us for anything. The rate is simply the percentage that I have negotiated. Aspirion’s rate is the best and lowest percentage rate of all of our other vendors.

Aspirion has done an incredible job for us. If the firm were to ask to use me as a reference, I certainly would be happy to do that for them. I could not say a bad thing about Aspirion.

Aspirion Denials Management Client

VP/Other Executive (Source: KLAS Research Client Commentary)

Contact Us

Aspirion is proud to be named 2024 Best in KLAS for Denials Management Services.

Contact us to find out how our highly-skilled denials team harnesses AI to meet your denials challenges head-on.