Clinical Denial Management Solution

Capture all of the interest and penalties payments you’re owed.

Most health systems aren’t capturing the interest and penalty payments they’re owed by payers-leaving millions of dollars on the table.

Our scalable solution, underpinned by our proprietary technology identifies what you’re owed and holds payers accountable, so you can capturer each dollar. We capture millions of dollars in interests and penalties each year, turning overlooked per-claim amounts into substantial payouts that help your bottom line.

See the results that matter:

Capture complete interests and penalties payments
Track what you’re owed at scale
Tap an overlooked revenue source

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CASE STUDY

Learn how Knowtion helps health systems recover the interest and penalties payments they’re owed.

The Challenge

Providers are missing out on interests and penalties payments because they lack the resources to manually and consistently calculate, track, and monitor what they’re owed.

The Solution

Knowtion’s solution:

Calculates what payers owe accurately, transparently, and at scale.
Identifies differences between self-funded and fully funded plans.
Curates results for presentations to payers .

Results

Knowtion has helped our customersclients achieve the following in interests and penalties cases:

3.5M hospital claims reviewed

$4.2B payments reviewed

50k claims identified for revenue opportunity

$4.5M total opportunity ($3M commercial claims, $1.3M managed care claims and $0.2M other claims)

Why do leading health systems choose Knowtion Health?

Unlock owed payments

Our Intelligent Automation (IA) calculation engine can model interest owed based on payer contract or state-based legislation to uncover what payment you deserve.

Technology solution enables scale

Robust and up-to-date reporting