Clear denials & rejections faster
Agents work the denied-claim and rejected ("unbilled") queues — reading the reason, gathering what's needed, and driving each claim toward a clean resubmission.
AI agents for revenue-cycle management
Get providers paid faster on the claims that usually get stuck.
Clairwise is building AI agents that clear the painful tail of revenue-cycle work — the denied and rejected claims that pile into a queue and get reworked by hand. We automate that rework so revenue comes in sooner, with far less manual effort.
Built for RCM teams and the medical facilities they bill for.
Claims work queue
Clairwise · clearing the tail
- Denied
- Rejected
- Resubmitted
- Paid
What we do
The work that drains your team
Denied and rejected claims are where revenue goes to wait. The clean claims sail through; the rest land in a backlog that someone has to research, fix, and resubmit one at a time. Clairwise takes on that tail.
Recover revenue that's sitting idle
Every claim stuck in rework is cash that isn't in the door. Clearing the backlog faster shortens the time from service to payment.
Less manual rework
The repetitive research-and-resubmit grind is exactly what agents are good at. Your billers spend their time on the exceptions that genuinely need a human.
Built for RCM teams
Designed around how revenue-cycle operations actually run — fitting into your existing workflow rather than asking you to rebuild it.
How it works
From stuck queue to clean resubmission
We're building agents that pick up a denied or rejected claim and carry it through the same steps a skilled biller would — just faster, and at the scale of the whole backlog.
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1
Understand the denial
The agent reads the reason and rejection codes on each claim and works out what's actually blocking payment.
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2
Gather & correct
It pulls together the documentation, codes, and corrections the claim needs to stand up — the slow research that usually stalls the queue.
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3
Resubmit & recover
The corrected claim goes back out clean, and your team sees what was done and why — so revenue moves and nothing is a black box.
Who it's for
Made for the teams carrying the backlog
RCM companies
Revenue-cycle teams managing denials and rejections across many providers, where the rework queue scales faster than headcount.
Medical billing operations
Billing teams that live in the research-and-resubmit grind and want to spend their hours on the claims that genuinely need a person.
Healthcare providers
The facilities and practices being billed for, whose revenue is held up by a growing queue of claims that didn't clear the first time.
If this is your problem, we'd like to hear from you.
We're early, and building with our first partners. If denied and rejected claims are where your revenue gets stuck, let's talk about working through it together.