01Contract · Policy · Coding
Co-Pilot agents
Understand instantly what each payer contract, policy and code actually allows, before claim submission.
Explore Co-PilotREVE SOLUTION / ACROSS THE CLAIM
The payer’s playbook. On your side of the table.
Reve brings payer-trained intelligence to provider revenue-cycle work, from contract context through claim review and payment questions.
REVE · CONTRACT TO CASH
Think Like a Payer.
Payers use AI to evaluate claims, authorizations, and payment decisions at a scale a revenue-cycle team cannot match manually. Every gap in the rules can become a denial.
Reve by PromptWrx is payer-trained revenue-cycle AI. It reads contracts, payer policies, and coding context through a payer-informed lens while keeping provider independence at the center.
One flow, contract to cash
Claims and denials go in;
clean claims, evidence-backed appeals and recovered revenue come out.
INCOMINGClaims + denialsProvider-side work
REVE · PAYER-TRAINEDThree agent familiesCo-Pilot · Pre · Post
REVIEW + NEXT STEPSClean claims + appealsProvider decides what to send
PAYMENTPayment reviewOutcomes are not guaranteed
The Reve solution
Three core
agent families.
Reve covers the claim lifecycle, from understanding contracts and authorizations to examining denials and payment questions.
02Authorizations · Scheduling · Claims scrubbing
Pre-submission agents
Bring payer requirements into view before the claim leaves your building.
Explore Pre-submission03Denials · Downcoding · Underpayments
Post-submission agents
Analyze payer decisions and prepare evidence-backed next steps. Your team controls what is sent.
Explore Post-submissionWorks alongside your systems
No rip and
replace.
Reve is intended to work alongside existing EHR, clearinghouse, and billing workflows.
Coming soon
Integration details will be available here.
Security and compliance
Built with protected health information in mind.
Coming soon
Security and compliance details will be available here.
See it in action
Watch the payer lens
at work.
Explore an illustrative product walkthrough. No claim data is collected and no performance outcome is implied.
See the work, stage by stage
From payer decision
to provider review.
Explore a synthetic example of how an appeal takes shape. No claim data is collected here.
Reve / Denial ManagementIllustrative product walkthrough · not a live claim
Start with the payer’s reason.
Reve reads the denial in the context of the claim. The question isn’t just what was denied. It’s how the payer reached that decision.
Denial summary Illustration
Medical necessity denial
A starting point for analysis, not the end of the claim.
- Example reference
- ILLUSTRATION-01
- Payer rationale
- Medical necessity not established
- Next step
- Review policy and evidence
Synthetic example. No patient information or actual claim data.
Explore at your own pace. Select any stage above.Illustrative content only. No outcome or payment is implied.
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
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.
Read insight
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.
Read insight
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.
Read insight