11.8% of claims are denied. 3-7% are underpaid. Claims past 120 days are nearly uncollectible. Anka closes all three leaks, automatically. EHR-agnostic. No rip-and-replace. No six-month implementation.
Anka sits downstream of your billing system, working everything after claim submission, 24/7.
Here is what happens to a denied claim in the real world, step by step.
| Step | Without Anka | Recommended With Anka |
|---|---|---|
| 1. EOB Received | ✗Payer sends EOB. It sits in an inbox until someone has time to read it.Delay: hours to days | ✓EOB lands. AI reads it in seconds, extracts denial reason, claim details, and payer rules automatically.Time: < 30 seconds |
| 2. Gather Documentation | ✗Billing staff spends 30-45 min finding the right clinical note, imaging report, or auth form.Delay: 30-45 min per claim | ✓AI pulls clinical history from the EHR and cross-checks against payer requirements. Zero manual digging.Time: < 60 seconds |
| 3. Write the Appeal | ✗Someone writes the appeal, but denials compete with charge entry, posting, and patient calls for the same staff hours.Delay: ~20 min, often skipped | ✓AI generates the appeal letter, cites exact clinical evidence, and matches payer appeal guidelines. Ready to send.Time: < 2 minutes |
| 4. Route & Submit | ✗Someone submits via portal, if it ever gets submitted. 65% of denied claims are never reworked.Result: most go unworked | ✓Complex cases routed to human reviewers with full context attached. Routine cases auto-submitted immediately.Result: 100% worked |
| 5. Track & Follow Up | ✗Outcome tracking is manual. Nobody calls the payer. Timely filing deadlines pass. Revenue is written off.Result: permanent revenue loss | ✓Anka tracks every submission, escalates non-responses, follows up with payers, and monitors for resolution.Result: recovered revenue |
Everything Anka does lives downstream of claim submission. Billing stays in your system. Anka controls recovery, automatically, across every claim.
Unified AR view across EHRs, billing systems, clearinghouses, and payer portals. Single dashboard. No context switching. See all claims, denials, appeals, and follow-ups in one place.
Machine learning ranks claims by recovery probability, dollar value, aging, and payer behavior. Work the highest-value claims first. Don’t waste time on denials that won’t overturn.
Next best action decision engine. For each claim: appeal? rework? request docs? follow up? The system decides. You execute or override. Every decision is explainable and auditable.
AI auto-executes repeatable AR actions. Routes complex cases to human reviewers, pre-packaged with full context. Voice AI handles phone follow-ups with payers. Human judgment stays in the loop on every decision.
System learns from outcomes continuously. Payer-specific denial patterns are identified. Appeal templates improve. Routing logic sharpens. No manual rule updates, it just gets better.
Identifies underpayments at CPT-code level, surfaces systematic denial patterns by payer, and flags aged AR before timely filing deadlines close the recovery window. Prescriptive insights for CFOs.
Not a template. Not a framework. An actual appeal letter, generated in seconds, clinically grounded, ready to submit directly to the payer.
Most healthcare IT takes 6-12 months. Anka is different by design.
Anka doesn’t replace your EHR. It doesn’t demand data migration. It doesn’t need new infrastructure.
Anka operates downstream of billing. Coding, submission, and billing decisions remain in your system. Anka works everything after claim submission: denials, underpayments, follow-ups, aged AR.
SOC 2 Type II certified. HIPAA BAA executed before any data transfer occurs. Patient data encrypted in transit and at rest. All data stored in the US. Audit logs maintained for every transaction.
Already mapped payer requirements for 100+ payers, including appeal formats, documentation rules, and timely filing deadlines. When a payer rule changes, we update it. You don’t.
Denials are worked within hours, not days. Appeals are submitted immediately. No queues. No bottlenecks. No end-of-month batch processing. Claims are processed as they arrive, around the clock.
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