AI-Powered Financial & Denial Analytics

Answer any revenue question down to the claim behind it.

BlackBook 2026 #1 : AI-Powered Claims Automation (9.67/10)

84%

Of denial dollars traced to a preventable cause

12 min

From remit to certified number

$14.2M

Of leakage surfaced in month one

AI that reads your entire revenue cycle end to end from a board-ready P&L to CARC-level root cause to the individual 835 behind every figure. Governed numbers. Not another dashboard.

The Reporting Crisis

Payer behavior changes every month. Your close reports it eight weeks later.

The data that explains where the revenue went already sits in your 835s, 837s and fee schedules. What's missing is one governed definition of each number, the lineage to defend it in a board meeting, and a drill path from the slide to the claim, so "denials are up" becomes CO-197 at $2.5M on surgical DRGs.

3/4

of denied dollars trace to a cause preventable at the front end. Lost to process, not payer behavior.

2/5

of denied dollars are never appealed. Not unwinnable. Just invisible until the write-off posts.

How RapidIntelligence works

Certify. Measure. Explain. Drill. Act.

Certify & Reconcile

Every number traced to its source. Every basis declared.

Nightly, the metrics layer reconciles 835s against expected allowed amounts, 837s against the charge master and DNFB, and effective-dated fee schedules across every payer. Each figure carries its lineage, cutoff and basis. No two teams working from two versions of the same KPI.

Certified metrics layer · Basis switchable, lineage attached

Every number traced to its source. Every basis declared.

Measure by Role

Every leader gets their own numbers. From one definition.

The CFO Command Center opens on net patient service revenue, margin, denial leakage and a ninety-day cash forecast. VP-RCM Operations opens on DNFB, charge lag, clean claim rate and denial work-in-progress. Fourteen analytics surfaces, one metrics layer underneath.

16 governed KPIs with targets · Role-scoped views

Every leader gets their own numbers. From one definition.

Explain the Leakage

Every dollar categorized. Every root cause named.

Denied dollars break out at CARC granularity, sorted by money, not count, and each reason is classified preventable or not. The recovery funnel shows what happened next: denied, appealed, overturned, recovered, with the appeal gap as its own figure.

74.3% of denied $ preventable · CARC-level attribution

Every dollar categorized. Every root cause named.

Drill to the Claim

Every chart ends at a claim. Not at a slide.

Claim Explorer is the universal drill target. Every chart lands there pre-filtered, returning billed amount, variance against contract, CARC, age and days to appeal deadline, with each row opening to its full 835. The board number and the worklist claim are the same object.

Every chart drills to its claims · Full 835 per row

Every chart ends at a claim. Not at a slide.

Model & Act

Every finding leaves with somewhere to go.

Contract Modeler prices a renegotiation before you sign it, and the Insights Inbox ranks new patterns by dollar impact. Each finding routes to the product that acts on it: denial cohorts to RapidRecovery, recurring patterns to RapidScrub. Every acted-on pattern shrinks next month's leakage.

Deterministic scenario modeling · Routes to RapidRecovery + RapidScrub

Every finding leaves with somewhere to go.

Results

What our customers recover.

84%

Of denial dollars traced to a preventable cause Large Health System · $118M gross charges/year

$14.2M

Annualized leakage surfaced in the first month Multi-Specialty Group · 690 denials/month

12 min

From remit posting to a certified board number Community Hospital Network · 9 payers reconciled nightly

Why RapidIntelligence

Not another RCM dashboard. A governed financial system of record.

Close the month. Then read the memo that was already written.

The Board Pack Writes Itself

The monthly board narrative is the most expensive writing in finance. Here it's generated against the certified layer, with every figure a drillable link and every causal claim tied to its cohort, then exported or scheduled to the board. The prose is generated. The numbers aren't.

Generated narrative, deterministic figures · Export and schedule

The Board Pack Writes Itself

Not "denials are up 8%." CO-197 at $2.5M on surgical DRGs.

CARC-Level Root Cause

Most reporting stops at a denial rate. Denials here are attributed at CARC level, sorted by dollars, classified preventable or not, and cut by payer, service line and provider. That specificity makes a finding routable: a CARC, a payer and a DRG go into a work queue.

12 CARCs by denied $ · Preventable classification on every row

CARC-Level Root Cause

The $1.2M problem found you. Two days after it started.

Ranked Insights, Unasked

Every dashboard depends on someone thinking to look. The Insights Inbox surfaces emerging patterns on its own, each with its dollar impact, claim count and drill path. Ask Rapid answers the rest in plain English, cited and drillable.

Ranked by dollar impact · Plain-English querying

Ranked Insights, Unasked

Purpose-Built

Built for your organization

FQHCstrust RapidClaims

FQHCs

FQHCs

UDS and grant reporting drawn from the same certified layer as your board pack. Runs without a data analyst on staff.

Community Health Centers

Community Health Centers

Payer mix shift and Medicaid churn visible in the month it happens. Reporting your finance committee can read unaided.

Accountable Care Orgs

Accountable Care Orgs

Total-cost-of-care and leakage attributed by practice and provider. One governed layer across every participating entity.

Physician Groups

Physician Groups

Provider and service-line P&L with wRVU and case-mix context. No data warehouse project required.

Hospitals and Health Systems

Hospitals and Health Systems

Board-ready close with lineage from the slide to the 835. Plugs into Epic and your existing GL.

Don't see your org type?

Don't see your org type?

Get in touch with our team

If you report on revenue at scale, Rapid Intelligence can help. Tell us how your team works.

Talk to us

See the leakage. Then close it.

RapidIntelligence works alongside RapidRecovery™ and RapidScrub™. Denial cohorts route to appeals with the CARC and dollars attributed, and recurring patterns become pre-bill edits, measured in the same certified layer.

BlackBook 2026 #1 : AI-Powered Claims Automation (9.7/10)

Frost & Sullivan 2025 : Technology Innovation Leader

BlackBook 2025 #1 : AI-Powered Claims Automation (9.61/10)

Works with your existing systems.

RapidIntelligence reads your EHR, billing system, clearinghouse and general ledger, and reconciles 835s, 837s and fee schedules nightly. No warehouse project. No workflow disruption.

Epic
cerner
Meditech
athenahealth
eClinicalWorks
nextgen
Allscripts
Greenway
dr chrono