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REVE SOLUTION / PRE-SUBMISSION

Get it right before it goes out the door.

Pre-submission support helps teams consider payer requirements while a claim is still being prepared.

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Coming soon

A closer look at this workflow will be available here.

Many denials can be considered earlier

Authorization gaps, scheduling mismatches, and claim errors can make rework expensive. Reve helps surface relevant requirements for team review.

Reve Pre-Submission Agent Family

Authorization Agents

Review what a payer may require for an authorization and prepare a request for staff review. Reve does not make coverage determinations or guarantee approval.

Scheduling Agents

Bring authorization, eligibility, and coverage questions into the scheduling conversation, before the service takes place.

Claims Scrubbing Agents

Examine claims against payer-specific edits and policy context, not just generic rules. Your team validates details and decides what to submit.

Reve supports provider review; it does not determine coverage, guarantee payment, or make the provider’s decision.

See the payer lens in context.

Explore an illustrative walkthrough or discuss the defined pilot scope.

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PromptWrx insights

Expert insight leveling
the payer–provider playing field.

Payers Use AI Technology to Deny Claims. Now Michigan Providers Can Use It to Fight Back
Press Release

Payers Use AI Technology to Deny Claims. Now Michigan Providers Can Use It to Fight Back

Joyn Health and PromptWrx announced a partnership to help Michigan provider organizations recover revenue lost to denials, underpayments, and increasingly complex payer rules. The collaboration pairs Joyn’s Claims Defender platform with PromptWrx’s Reve AI for Revenue Cycle, which was built by former payer executives who know exactly how provider claims get adjudicated, and denied.

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Getting Past The Test Drive: Getting RCM AI From Demo To Production
Blog

Getting Past The Test Drive: Getting RCM AI From Demo To Production

HFMA asked three revenue cycle leaders for the one AI question their peers should be asking. Their answers are the right ones for a health system to ask of itself, but they aren't tough enough to ask of a vendor. Drawing on years of building adjudication AI on the payer side, I lay out seven questions to ask before you sign: paid dollars, current policy, triage, traceability, real oversight, payer fluency and a baseline you own. Because a demo is a test drive on a sunny day.

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Denials Use the Front Door. Recoupments Use the Back.
Blog

Denials Use the Front Door. Recoupments Use the Back.

Most health systems have gotten good at working denials, but payer recoupments get past those workflows: they show up months or years later as offsets and adjustments on the remit, which a new Becker's whitepaper with SCA Health and Cleveland Clinic leaders calls a hidden margin threat. Having built AI for insurers, the PromptWrx team explains how payers recover money after payment without asking, and why providers often don't notice. The article gives six practical steps, including reading the PLB segment, giving recoupments an owner and citing the policy in effect on the date of service, and closes by showing how Reve reads what comes back from payers so providers can keep the money they've already been paid.

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