SmarterDenials

JSON twin: https://www.healthaidb.com/software/smarterdenials.json

Company Name

SmarterDx

Product URL

https://www.smarterdx.com/smarterdenials

Company URL

https://www.smarterdx.com

Categories

• administrative Operations
• revenue Cycle
• clinical Documentation
• ai Clinical Documentation Integrity
• Administrative
• Revenue Cycle Management
• Ai Solutions

Summary

SmarterDenials is an AI-driven solution by SmarterDx that helps hospitals efficiently generate evidence-backed clinical appeal letters to overturn payer denials and recover lost revenue.

Description

SmarterDenials leverages clinical AI to analyze denied claims, identify supporting clinical evidence, and automatically generate comprehensive appeal letters in minutes, streamlining the appeals process and reducing administrative burden for hospitals.

Api Available

unknown

Certifications

• SOC 2 Type II

Company Founding

2020

Company Offices

• United States

Compliance

• HIPAA
• SOC 2 Type II

Customers

Data Residency

United States

Data Standards

• FHIR
• HL7 v2
• DICOM
• SNOMED
• ICD-10

Deployment Model

• SaaS

Features

• AI-based analysis of complete patient record
• Automated extraction from denials (including faxes/scans)
• Generative appeal letter creation (minutes)
• Identification of clinical evidence in context
• Support for complex cases (DRG downgrades, level of service denials)
• Editable web-based appeal letter viewer/editor
• Chart scanning: notes, labs, meds, orders, vitals
• Coding references included in appeal
• Workflow for review/refine/send appeals
• Searchable evidence snippets for appeals

Id

SW2251

Integration Partners

Integrations

• Epic
• MEDITECH Expanse
• Oracle Cerner

Languages Supported

• English

Last Updated

2025-10-11

License

commercial

Market Segment

• enterprise
• smb

Optional Modules

Os Platforms

• Web

Pricing Details

Contact vendor for pricing information.

Pricing Model

subscription

Privacy Features

• Business Associate Agreement (BAA) available
• Data minimization (claims-focused extraction)

Product Code

SW2251

Product Name

SmarterDenials

Ratings

Regions Available

• United States

Related Urls

• https://elion.health/products/smarterdx-smarterdenials

Release Year

2020

Security Features

• Encryption (in transit and at rest)
• Role-based access control (RBAC)
• Audit logging
• SSO/SAML (likely supported)

Specialties

• General Medicine
• Surgical Procedures
• Emergency Care
• Oncology
• Cardiology
• Orthopedics
• Neurology
• Pediatrics
• Obstetrics
• Gynecology
• Pulmonology
• Gastroenterology
• Urology
• Dermatology
• Rheumatology
• Infectious Diseases
• Endocrinology
• Hematology
• Psychiatry
• Radiology

Support Channels

System Requirements

Target Users

• hospital administrators
• revenue cycle managers
• clinical documentation specialists

Training Options

Type

product

User Reviews

Version

1.0

Alternatives

See related products

Canonical JSON

{
  "product_name": "SmarterDenials",
  "company_name": "SmarterDx",
  "product_url": "https://www.smarterdx.com/smarterdenials",
  "company_url": "https://www.smarterdx.com",
  "related_urls": [
    "https://elion.health/products/smarterdx-smarterdenials"
  ],
  "product_code": "SW2251",
  "summary": "SmarterDenials is an AI-driven solution by SmarterDx that helps hospitals efficiently generate evidence-backed clinical appeal letters to overturn payer denials and recover lost revenue.",
  "description": "SmarterDenials leverages clinical AI to analyze denied claims, identify supporting clinical evidence, and automatically generate comprehensive appeal letters in minutes, streamlining the appeals process and reducing administrative burden for hospitals.",
  "categories": [
    "administrative Operations",
    "revenue Cycle",
    "clinical Documentation",
    "ai Clinical Documentation Integrity",
    "Administrative",
    "Revenue Cycle Management",
    "Clinical Documentation",
    "Ai Solutions"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "target_users": [
    "hospital administrators",
    "revenue cycle managers",
    "clinical documentation specialists"
  ],
  "specialties": [
    "General Medicine",
    "Surgical Procedures",
    "Emergency Care",
    "Oncology",
    "Cardiology",
    "Orthopedics",
    "Neurology",
    "Pediatrics",
    "Obstetrics",
    "Gynecology",
    "Pulmonology",
    "Gastroenterology",
    "Urology",
    "Dermatology",
    "Rheumatology",
    "Infectious Diseases",
    "Endocrinology",
    "Hematology",
    "Psychiatry",
    "Radiology"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "subscription",
  "pricing_details": "Contact vendor for pricing information.",
  "license": "commercial",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2020",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "AI-based analysis of complete patient record",
    "Automated extraction from denials (including faxes/scans)",
    "Generative appeal letter creation (minutes)",
    "Identification of clinical evidence in context",
    "Support for complex cases (DRG downgrades, level of service denials)",
    "Editable web-based appeal letter viewer/editor",
    "Chart scanning: notes, labs, meds, orders, vitals",
    "Coding references included in appeal",
    "Workflow for review/refine/send appeals",
    "Searchable evidence snippets for appeals"
  ],
  "optional_modules": [],
  "integrations": [
    "Epic",
    "MEDITECH Expanse",
    "Oracle Cerner"
  ],
  "data_standards": [
    "FHIR",
    "HL7 v2",
    "DICOM",
    "SNOMED",
    "ICD-10"
  ],
  "api_available": "unknown",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "SOC 2 Type II"
  ],
  "certifications": [
    "SOC 2 Type II"
  ],
  "security_features": [
    "Encryption (in transit and at rest)",
    "Role-based access control (RBAC)",
    "Audit logging",
    "SSO/SAML (likely supported)"
  ],
  "privacy_features": [
    "Business Associate Agreement (BAA) available",
    "Data minimization (claims-focused extraction)"
  ],
  "data_residency": "United States",
  "customers": [],
  "user_reviews": [],
  "ratings": [],
  "support_channels": [],
  "training_options": [],
  "release_year": "2020",
  "integration_partners": [],
  "id": "SW2251",
  "slug": "smarterdenials",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-10-11",
  "links_json": {
    "self": "https://www.healthaidb.com/software/smarterdenials.json"
  }
}