More Appeals. Faster Results. Real Revenue.

Revguard is the all-in-one platform that helps healthcare providers, hospitals and billing teams recover lost revenue by automating insurance denial appeals.

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PRODUCT

How it Works?

Automate your entire appeals workflow so you recover more, with less effort.

STEP 1

Spot Denied Claims in Your Dashboard

Your dashboard shows every denied claim across your organization, with smart filters and ordering prioritized by urgency and value.

STEP 2

Generate Appeal Letters Automatically

Revguard pulls data from EOBs, patient files, and your EHR to generate precise, policy-specific appeal letters automatically.

appeal-letter.docx

STEP 3

Submit Appeals and Track Results

Submit directly from Revguard and monitor every appeal's progress. See what's working, and what's still pending— no more spreadsheets.

ICN—

A7B9C2D4E8F1

Ready to transmit

Est. Recovery

$4,250.00

FEATURES

Why We Shine?

Revguard ranks denials by financial impact and overturn likelihood—helping your team focus on the highest-value opportunities first.

DENIAL QUEUE - PRIORITY SORTED

UPDATED 2 MIN AGO

ID	PAYER	AMOUNT	WIN PROB	STATUS
CLM-8892	UnitedHealthcare	$12,450	85%	P1
CLM-8891	BCBS	$5,200	70%	P2
CLM-8890	Aetna	$800	45%	P3

APPEAL GENERATION SYSTEM

READY

DRAFT PREVIEW

POLICY REF: MEDICARE LCD A52080

COVERAGE: CPT 99213 - CONTRACTED

CONTEXT SOURCES

CPT 99213

LCD A52080

CLINICAL DOCS

EHR DATA

CONFIDENCE

94%

GEN TIME

2.3s

SUBMISSION PORTAL

CLAIM: CLM-2024-8892

SELECT DESTINATION

UnitedHealthcare Portal

ELECTRONIC • EST 2-3 DAYS

Availity Portal

Direct Fax

AUTO-TRACKINGENABLED

CONNECTED: 3 PORTALS

SUBMISSION LOG

Last: 14 min ago

WORKFLOW CONFIGURATION

AUTO-GENERATE APPEALS

For high-priority denials

DEFAULT TEMPLATE

Medicare Standard v2.1

▼

CITE PAYER CONTRACTS

ENABLED

PRIORITY THRESHOLD

$5,000

Min. value for auto-processing

$0$20,000

CUSTOM AGENT RULES

Configure AI behavior and logic

RULES DEFINED

8 ACTIVE

PERFORMANCE METRICS

LAST 90 DAYS

OVERTURN RATE

78%

↑ 12% VS. PREVIOUS PERIOD

REVENUE AT RISK

$2.4M

234 ACTIVE APPEALS

MONTHLY RECOVERY

JAN

FEB

MAR

APR

156

WON

$1.8M

RECOVERED

4.2d

AVG TIME

CASE STUDIES

Proven impact across our partner network.

These metrics highlight the operational and financial gains with Revguard.

90%

Faster appeal submissions

90%

Lower cost per appeal

More appeals submitted

5 min

Average time to appeal

20+

Insurances submitted to

More Appeals. Faster Results. Real Revenue.