AI-Driven Revenue Cycle Management

16Jan

From Denial to Approval: How IntellyLabs is Helping Hospitals & Clinics to get maximum Approval with IntellyMindAI

The United States is the most expensive state when it comes to Healthcare expenses, therefore the majority of the people have got some sort of Insurance for their emergency needs.

Artificial Intelligence in Insurance: Insurance + AI based approvals are new normal, earlier there was a team of people who assess each application carefully and approve/reject based on their judgement along with findings. It has become more difficult for the staff and patients to file the correct application which gets approved from the rigorous AI based system which has been implemented at the Insurance company.

Challenges: Hospitals are losing a big amount of their revenue due to non-approval of the claims, resulting in patients finding alternatives to their treatment or going to some other hospitals to check if they can get approval there. Clinic and Hospital staff are not trained enough to cope up with the latest amendments or formats of the claim submission form, they require regular training which affects their core job.

Claim denials don’t just hurt revenue—they create daily frustration for billing teams. When a claim is denied, staff must rework it, wait longer for payment, and handle more paperwork. In reality, about 15% of claims get denied at least once, and most of them—around 65%—are never sent again, which means lost money. Many denials happen because of simple coding mistakes or missing documents, causing 10–20% of claims to be rejected. Over time, these issues lead to millions in unpaid revenue

Solution: While working with so many Hospitals and clinics we have figured out this problem, our team has built - IntellyMind AI which does everything for you, from the initial filing till getting the approval. It has been trained to learn the formats of all the major insurance company, knowing the method to get faster approval, unlike human errors it doesn’t make typo errors or other clerical errors.

You just need to fill in some basic information, it will ask or fill itself with all other details of the patient and treatment. IntellyMind AI saves hospitals 20-30% annual revenue by just not losing on these claims.

You just need to fill in some basic information, it will ask or fill itself with all other details of the patient and treatment. IntellyMind AI saves hospitals 20-30% annual revenue by just not losing on these claims.

IntellyMind AI continuously checks claims before submission to catch missing documents, incorrect codes, and policy mismatches that usually lead to denials. It works 24/7, so claims don’t get delayed due to staff shortages or workload pressure.

The system also tracks every claim in real time, alerts teams if an insurer needs more information, and automatically prepares appeals when required. This reduces follow-ups, cuts down manual work, and helps hospitals get paid faster without increasing billing staff.

By reducing rework and speeding up approvals, hospitals and clinics can focus more on patient care instead of chasing payments—while maintaining a healthier and more predictable cash flow.

Technology will not be able to fix problems caused by broken customer service workflows. It’s useless to create a quick, streamlined, and efficient workflow that still provides unsatisfactory customer service. This is the reason why top tech organizations need seamless integration of tech and traditional processes.

Please visit our website www.intellylabs.com for more information and you can also follow us on LinkedIn and X for more such important information.

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