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Your Best Defense Against Claim Denials

Insurance carriers profile and target providers and service types that commonly have clinical charting gaps. AidiN is your defense.

Rules Engine

Real-Time Tracking

ICD 10 Qualification

Real-Time Response

Note Organization

15%

Arbitrary Claim Denials: Kaiser Family Foundatation estimates that 15% of laboratory claims are either denied or pended for further medical documentation

50%

Denials Upheld: Claim denials are upheld due to lack of medical necessity for referred services.

>$10B

Annual revenue forfeited by ancillary providers for lack of documentation.

By the numbers

Lack of Proper Chart Notes

Insurance carriers love when you don't have supporting documentation. In fact, they count on  it because labs don't have it readily available.  AidiN bridges that gap.  Our focus is on providing your lab with the data required to respond to payer requests to help you make money for your work and keep it. Using advanced payer logic and documentation expertise, our tools streamline prior authorizations, accelerate revenue cycles, and safeguards revenue during post-payment reviews.

Order Qualification

Your AidiN instance will show let you know if your order meets basic coverage criteria before you send it to billing. This can save you weeks of back and forth with your RCM team and get you paid faster.

Note Generation

AidiN's generative AI understands what coverage criterion is required for a prescribed service and writes a fully informed, accurate, and unique medical explanation for the referral in a SOAP format.

Claim Tracking

AidiN is always watching for problems with your claim submissions to inform you weeks ahead of when you'd typically learn about it from your biller or RCM partner.

our services

Revenue Protection

AidiN connects prescribers with ancillary providers, allowing prescribers to efficiently organize and electronically relay crucial medical necessity documentation. This seamless interface protects providers by ensuring quality documentation is received upfront, safeguarding payments and ensuring compliance. AidiN optimizes the revenue cycle workflow and decreases denial risks. Let AidiN elevate your financial and compliance performance.

Form and stethoscope

Why AidiN?

Providers have thousands of rules and regulations to navigate within their own practices. Depending on a provider to understand the coverage nuances of everything they refer out for services is simply unrealistic. AidiN is designed to help bridge these gaps between prescribers and ancillary providers to keep services moving and protect patients from unncessary costs.

  • We have decades of specialty revenue cycle management and claim recovery expertise. By applying this knowledge to the front end of the process, AidiN protects and defends your claims, decreases your DSO, and aligns your company's documentation with prior authorization requirements.

  • With plans as low as $249 per month, AidiN provides exceptional value and protection for your revenue cycle and financial health.

  • AidiN is easy.  Respond to payers in just minutes. 1) Login to AidiN daily to seek out claim denials or information requests in real-time. 2) Download your order and justication documents. 3) Upload them to your payer's portal for review.

  • Even if you don't host billing in-house, you can use AidiN to manage your benefits eligibility, coverage discovery, claim status, and ERA management in one platform. 

Hiding a Smile

Dakota W

South Carolina

As a biller constantly battling claim denials and chasing payments, AidiN has significantly streamlined my workflow. Their focus on structuring documentation correctly upfront means fewer rejections hitting my desk, and I've genuinely seen a reduction in the time it takes for us to receive payments, which directly impacts the financial health of my clients. Having access to their detailed resource guide, including manuals and support documents, also means that when technical questions about integration or platform use do arise, the answers are readily available, preventing further delays and letting me focus on processing claims efficiently.

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Joseph Price

Dallas, Tx

What I appreciate most about AidiN Health is how they help us proactively prevent claim denials rather than just reacting to them; their expertise in structuring documentation correctly before submission means our claims requiring supporting documentatin get immediate response. AiDiN is saving me countless hours of investigation and rework. And side note: we don't have to go and bother the referring doctors with medical records reqeustst.  We're seeing payments come in significantly faster now, which directly helps our cashflow align with our expenses – a constant pressure point in my role.

Smiling Portrait

Jennifer Strand

Denver, CO

From my viewpoint as a biller, the biggest impact of using AidiN Health is the sheer efficiency gain in our claims process. We know payers often capitalize on documentation gaps, but AidiN's tools help structure everything correctly from the outset, dramatically slashing the number responses we can turn right back around. This translates directly into faster, more predictable revenue cycles, which is essential for the lab's financial stability. Managing denials and payer reqeusts is so easy now.

Our reviews

What People Say About Us

Customer satisfaction is our top priority. Here’s what some of our customers say about AidiN!

FAQs

We Have Answers, For Your Questions!

  • Ideally, you will work from the secure AidiN portal. That's where you can run your patient insurance eligibility, track your claim status, and house your claim supporting documents. As soon as a payer is asking for your documentation, you can go right to your portal and pull your document(s). The AidiN portal will have your claim number so that it can be tracked through your payers' claims systems. Some payers can accept your responses righ through the AidiN app, making this a real-time response to a payer documentation request.

  • When you sign up for AidiN, we will profile your industry and products,  and investigate the various payer scenarios and specific coverage rules for the services that you provide. That informs the responses and ensures that the AidiN is generating the correct responses and that orders that do not qualify are flagged so you can determine your next steps with the patient or provider.

  • AidiN is helping to fill in documentation gaps that exist within EMR/EHRs. Often times, a prescriber is not providing a note that satisfies the medical policy coverage rules. AidiN is designed to take the inputs that the prescriber enters into the EHR or order, and generate an accurate description of the service and how it fits into the coverage rules of a given insurance policy. This reduces the financial burden for patients, the documentation burden of the provider, and the notation gaps from the prescriber. 

  • AidiN is interoperable with most approved healthcare frameworks. That means that electronic ordering systems that reside within EMR/EHR, DME ordering software, or Lab Information Systems can deliver data into AidiN and expect a document to return back into that ordering system.

  • Absolutely! AidiN is designed to accommodate any ancillary healthcare product and order vehicle. That means if you receive a paper prescription, paper requsuisition, EMR/EHR order, LIMS or any other order management platform, AidiN will deiver for you!

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