Insurance companies routinely underpay and deny claims — silently, legally, by design. Revyola finds the underpayments and denials, generates appeal letters in 40 seconds, and shows you exactly what is worth fighting — powered by AI/ML. Deep integrations for enterprise. Zero IT lift for everyone else. Revyola integrates with the systems you already run; no IT team? Start with simple remittance capture and be live the same week. Either way, we meet you where you are today.
Revyola works alongside the payer portals your team already uses. It spots underpaid and denied claims as remittances come in, and tells you which are worth fighting.
Enterprise groups connect Revyola directly to their EHR, practice management system and clearinghouse for fully automated data flow. Practices without an IT team start with manual remittance data capture (EDI 835, CSV or clearinghouse downloads) and add integrations later. No rip-and-replace either way.
Underpayment detection, denial classification, CARC/RARC root cause analysis, payer behavior scoring, eligibility verification — all automated and running in parallel.
Payer-specific, CARC-grounded appeal letters for every recoverable denial and underpayment — with clinical justification, contractual basis, and supporting documentation checklist. Ready to send.
Exact dollar amounts by claim, payer, and CPT code for both denials and underpayments — as remittances arrive, plus a full recovery report on request. Which claims to dispute, which letters to send, which payers to watch.
We earn a success fee only on what we actually recover and collect — so our incentives are perfectly aligned with yours. A low monthly floor keeps us accountable. The more we find, the more we both win. See pricing for your tier's exact rate.
Every claim passes through the full intelligence stack — in parallel, in seconds, with full audit trail.
Compares every paid claim against your contracts, contract policies, and payer fee schedules to identify payment variances. Flags underpayments even when no denial was issued — the silent leak most billing software never surfaces.
CARC/RARC-grounded letters generated in 40 seconds. Payer-specific arguments, correct legal framing, contractual basis. Ready to send — not a template to rewrite.
Behavioral scoring across claims — identifies systematic underpayment by CPT, payer compliance grade, negotiation leverage points, and annual leakage estimates.
No hidden fees. No long-term contracts unless you want them. We built every pricing tier so Revyola earns only when you do.
Most billing software tells you what was paid. Revyola tells you why it's wrong — with payer-level behavioral scoring that surfaces the systematic patterns your contracts were never designed to expose.
Based on actual claim analysis.
In just 167 claims, Revyola identified $11,541 in payment variance.
Billing companies charge monthly retainers regardless of results. They miss silent underpayments. They take weeks. Here's the honest comparison.
The same payer dysfunction shows up across every outpatient specialty. Revyola surfaces it — with CPT-level granularity.
HIPAA compliance isn't a checkbox. It's how the entire platform was designed from day one.
Multi-tenant data isolation with practice-level row security. PHI is scrubbed before any AI processing. Built on Supabase with encrypted-at-rest storage and audit logging.
HIPAA-ready AI/ML infrastructure purpose-built for revenue recovery. Every claim is analyzed, every denial is classified, every appeal is generated, and every payer pattern is learned — entirely within a compliant, secure environment.
Business Associate Agreements available for all practices. Zero data retention beyond what you authorize. Your claims are yours.
Integration-ready for enterprise scale across leading EHR, practice management and clearinghouse systems. No IT team? Manual remittance capture gets you started now, and nothing is lost when you integrate later.
All Protected Health Information is stripped before any claim data reaches the AI layer. Our patent-pending PHI scrubber replaces identifiers with synthetic tokens that preserve claim integrity.
Deep knowledge of US payer behavior across all 50 states. Relationships with specialty practices across the United States.
Healthcare providers didn't enter medicine to study payer behavior. They entered to treat patients, advance care, and build organizations that serve their communities. Yet the reimbursement environment forces specialty groups to absorb opaque payment patterns, inconsistent contract application, and silent revenue leakage that never surfaces in standard reporting.
After watching this happen across specialty practices in the United States, I built Revyola to give providers the weapon the insurance system never wanted them to have — a real-time intelligence layer that turns closed claims into actionable signal.
Revyola is the product of 20+ years in enterprise technology and healthcare systems, an MBA from UCLA Anderson, and an obsessive conviction that the $250 billion underpayment problem is solvable with the right architecture.
No IT work needed to start. Send a file and get a complete recovery report in 1 business day. The audit is free; after that, $199/month plus a success fee only on revenue we actually recover.
Send us a remittance or claims file — no IT work needed — and receive a complete revenue recovery report within 1 business day. $199/mo floor after audit. 25% of revenue actually recovered and collected. Cancel anytime.