Crosby Health

What if every denial, no matter how small, could be appealed with precision and ease?

NicheCrosby Health offers a specialized AI-driven platform to automate and streamline clinical denial appeals, aiming to significantly reduce provider burden and increase revenue recovery for healthcare organizations.

Crosby Health leverages Clinical AI, expert appeal writers, and a robust submission engine to automate the generation, submission, and tracking of clinical appeals, significantly reducing the burden on healthcare providers from clinical denials. Its Apollo LLM is specifically trained for RCM tasks like auditing, charge capture, and denial management.

Visit Crosby Health

Visit Crosby Health

Key Features:

AI-powered appeal generation for various denial types (e.g., authorization, inpatient-only).
Unified submission platform for all payers, including direct Medicare integration.
Automated tracking and confirmation of appeal receipts and payor decisions.
Apollo clinical LLM for RCM tasks like auditing, charge capture, and denial management.
Identification of medical necessity within documentation using AI.

Pros

Hospitals and Health Systems struggling with high volumes of clinical denials.
Specialty Practices seeking to automate medical necessity appeals and reduce write-offs.
RCM teams looking to augment their capabilities and improve recovery rates.

Cons

Pricing details are not publicly available, requiring direct contact for a demo.
The platform's effectiveness relies on the quality of integrated legal and clinical guidelines.
While AI automates, human oversight may still be necessary for complex cases.

Pricing

paid

Categories:

Healthcare & Medical Business & Enterprise Automation & Integration

Tags:

clinical appeals denial management revenue cycle management RCM healthcare AI medical billing LLM HIPAA compliant

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Quick Decision

Try if: You are a hospital, health system, or specialty practice overwhelmed by clinical denials and seeking an AI-powered solution to automate appeals and improve revenue cycle management.

Skip if: You are looking for a general RCM solution not specifically focused on clinical appeals, or if you require transparent pricing upfront.

Not for: Individuals seeking general medical advice or patient-facing AI tools.; Organizations without significant clinical denial management needs.

Trust Signals

Founded
2023
Team Size
small

Compliance

HIPAA

Tech Details

Platforms

web

AI Model
Apollo (custom clinical LLM)

Open Source

Support

Channels

emailcontact form

Company

Name
Crosby Health (DictateMD Inc. Dba Crosby Health)
Location
New York City, USA

Crosby Health was initially developed to manage a high volume of denials at a five-physician private practice. After successfully building internal tools, the founders expanded to help other healthcare organizations manage their appeals using Clinical Artificial Intelligence, expert appeal writers, and a robust submission engine.

FAQ

What types of denials can Crosby Health help appeal?

Crosby Health can help appeal various clinical denials, including authorization denials, inpatient-only denials, and medical necessity denials, for both professional fees and hospital billing.

How does Crosby Health ensure compliance and data security?

Crosby Health is built to support HIPAA regulations, ensuring the confidentiality, integrity, and availability of all protected health information (PHI) in compliance with the Privacy Rule, Security Rule, and Breach Notification Rule.

Is there a free trial or publicly available pricing for Crosby Health?

The website does not mention a free trial or publicly display pricing information. Users are encouraged to request a demo to learn more about the solutions and pricing.

Use Cases

Hospitals and Health Systems struggling with high volumes of clinical denials.
Specialty Practices seeking to automate medical necessity appeals and reduce write-offs.
RCM teams looking to augment their capabilities and improve recovery rates.