Notes
Notes from the build
What we are learning while building AI denial recovery: the economics, the data problems, and the engineering.
August 7, 2026
Fighting denials costs providers $70 million a day
US hospitals spent $25.7 billion contesting denied claims in 2023, and 70% of contested denials were eventually overturned. Who pays for the error.
August 7, 2026
The write-off threshold: the math that kills small denials
Every billing company has a number below which denied claims are not worth fighting. Where that number comes from, and what moves it.
August 7, 2026
Why we built a 750-case synthetic claims testbed before touching real data
You cannot develop on PHI and you cannot evaluate without answer keys. Our fix: synthetic transaction chains with planted defects and a simulated payer.
August 7, 2026
Denials are nine problems, not one
A duplicate denial and a medical-necessity denial have nothing in common. Why we run separate pipelines per denial group, and what the volume data says.