⬡ 9 AI agents operational ·📊 EDI 835 · CSV · Any EHR ·⚡ Appeal letters in 40 seconds ·🔒 HIPAA compliant · BAA available ·💰 25% success fee · zero upfront ·📈 1 business day delivery ·🏥 Specialty practices across the US ·🤖 Powered by Anthropic Claude for Healthcare ·⬡ 9 AI agents operational ·📊 EDI 835 · CSV · Any EHR ·⚡ Appeal letters in 40 seconds ·🔒 HIPAA compliant · BAA available ·💰 25% success fee · zero upfront ·📈 1 business day delivery ·🏥 Specialty practices across the US ·🤖 Powered by Anthropic Claude for Healthcare ·
1,842 claims analyzed today
Beta · Accepting practices

The intelligencelayer your payersnever wantedyou to have.

Insurance companies underpay and deny 1 in 3 claims — silently, legally, by design. Revyola deploys 9 AI agents to find every dollar, generate appeal letters in 40 seconds, and deliver a complete recovery report within 1 business day.

HIPAA CompliantBAA AvailablePowered by Claude for HealthcarePHI Protected
REVYOLA · RECOVERY INTELLIGENCE
Recovery Opps18
Denied Claims4
Clean Claims28
Total underpayments$23,17018 claims · sorted by largest
CLAIM ID
PAYER
BILLED
ALLOWED
PAID
VARIANCE
SBO-26-100005Guardian Dental$5,850$3,970$1,000$2,970
SBO-26-100014Aetna$6,015$3,715$1,200$2,515
SBO-26-100006United Concordia$6,155$3,565$1,200$2,365
SBO-26-100019Ameritas$6,015$3,385$1,200$2,185
Recovery identified
$23,170
18 claims · this practice
stolen from US providers annually
$0B
of claims underpaid or denied
0%
to generate a payer-specific appeal
0s
Business Day · report delivered
0
The problem

"The system was not designed to pay you fairly.
It was designed to be confusing."

Across every specialty, payers apply modifier reductions, bundle procedures, apply deductibles incorrectly, and issue denials on valid claims — knowing that most practices lack the tools to fight back. The result is $250 billion in systematic annual underpayment that goes unchallenged.

Silent underpayments with no denial flag
Modifier 59 reimbursement suppression
Same-day E/M and procedure reductions
Cross-payer payment inconsistencies
Appeal letters that take 90 minutes to write
How Revyola works

From hidden payer variance
to recovered revenue.

Revyola analyzes your already-paid claims, finds the money payers shorted you, and does the work to get it back — through existing payer channels.

STEP 01📁

Upload your claims file

Securely upload closed claims, EDI 835 remittance files, or CSV exports from any EHR — Athena, Epic, AdvancedMD, Kareo, Modernizing Medicine, or clearinghouse exports from Availity and Waystar.

CSV · EDI 835 · Any EHR
STEP 02

9 AI agents analyze every claim

Variance detection, denial classification, CARC/RARC root cause analysis, payer behavior scoring, eligibility verification — all automated and running in parallel.

9-agent pipeline
STEP 03📝

Appeal letters in 40 seconds

Payer-specific, CARC-grounded appeal letters for every recoverable denial — with clinical justification, contractual basis, and supporting documentation checklist. Ready to send.

40-second generation
STEP 04📊

Recovery report in 1 business day

A complete report with exact dollar amounts by claim, payer, and CPT code. Which claims to dispute, which letters to send, which payers to watch.

1 business day
STEP 05💰

25% of what we recover

We take 25% of amounts actually recovered — only when you do. Zero upfront cost. Zero monthly fees. Zero risk. If we find nothing, you owe nothing.

Success fee only
Input
📤 CSV · EDI 835 · Any EHR
Processing
9 AI agents in parallel
Output
📋 Letters + full recovery report
Fee model
💰 25% success fee only
Intelligence architecture

9 AI agents. One pipeline. Zero claims missed.

Every claim passes through the full intelligence stack — in parallel, in seconds, with full audit trail.

📥
Intake
Parse & validate
🔍
Scrubbing
Pre-bill edits
📊
Variance
Detect gaps
⚠️
Denial
Classify root cause
📝
Appeal
Draft letters
🎯
Payer Intel
Score behavior
Eligibility
Verify coverage
👤
Patient
Calc responsibility
Orchestrator
Route & prioritize
📥
Intake
Parse & validate
🔍
Scrubbing
Pre-bill edits
📊
Variance
Detect gaps
⚠️
Denial
Classify root cause
📝
Appeal
Draft letters
🎯
Payer Intel
Score behavior
Eligibility
Verify coverage
👤
Patient
Calc responsibility
Orchestrator
Route & prioritize
📊

Variance Detection

Compares every claim against Medicare benchmark × payer multiplier. Flags underpayments even when no denial was issued — the silent leak most billing software never surfaces.

📝

Appeal Drafting

CARC/RARC-grounded letters generated in 40 seconds. Payer-specific arguments, correct legal framing, contractual basis. Ready to send — not a template to rewrite.

🎯

Payer Intelligence

Behavioral scoring across claims — identifies systematic underpayment by CPT, payer compliance grade, negotiation leverage points, and annual leakage estimates.

Pricing

Every tier is profitable for you.
Every tier is a steal.

No hidden fees. No long-term contracts unless you want them. We built every pricing tier so Revyola earns only when you do.

Monthly
Annual Save 17%
RecoveryNo commitment
Practices exploring recovery with zero risk
$0per month
25% success fee
on amounts recovered. Pay nothing until we do.
The math
Recover $10K → pay $2,500 → keep $7,800
All 9 AI agents
Unlimited claims analysis
Appeal letters in 40 seconds
1 business day delivery
Payer scorecard report
No contract, cancel anytime
Priority same-day analysis
Dedicated account manager
Start free audit
Most Popular
Practice ProMost popular
Established practices with regular claim volume
$499per month
8% success fee
vs 25% on Recovery — pays for itself in the first recovery.
The math
Recover $10K → pay $499 + $800 → keep $8,701
Pays for itself — saves $901/month vs Recovery tier
Everything in Recovery
Priority same-day analysis
Dedicated account manager
Monthly payer intel reports
Custom CPT variance tracking
API access
Multi-location support
White-label ready
Get started
RCM PlatformFor billing companies
Billing companies and multi-practice groups
From $1,499per month
5% success fee
Serve 5+ practices. Add Revyola to your service stack.
The math
Serve 10 practices × avg $8K recovered = add $32K/month to your revenue
Everything in Practice Pro
Multi-practice dashboard
White-label ready
Per-practice volume pricing
API + webhooks
Custom reporting suite
Dedicated solutions engineer
SLA guarantee
Talk to sales
🎯 Not sure where to start? Every engagement begins with a free recovery audit.
Upload your claims file. Get a complete recovery opportunity report within 1 business day. No credit card required. No commitment. The audit itself is always free — so you know exactly what you're leaving on the table before you decide anything.
Payer intelligence

Know how every payer
actually behaves.

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.

Payer grade A–D
CPT-level variance
Annual leakage estimate
Contract compliance rate
Negotiation leverage
Payer Scorecard
Live intelligence
A
Delta Dental
Fastest payer — 96% compliance
94%
compliance
B
Cigna Medical
E/M downcoding on 99214-15
81%
compliance
C
UnitedHealthcare
CPT 11102 underpaid 23%
71%
compliance
D
Humana MA
EP ablation systematic gap
58%
compliance
B
Aetna Commercial
Modifier 59 reduction errors
83%
compliance
C
BCBS California
Nuclear stress bundling issues
74%
compliance
Graded on pay rate, denial frequency, payment speed, and contract compliance
Results

Real recovery. Real practices.

Illustrative results based on the patterns we identify across specialty practices.

$16,829 found

"We had no idea Humana was systematically underpaying our echo codes. Revyola found it in 48 hours."

Cardiology Practice
South Bay, California
CPT 93306 underpaid 18% across 47 claims
$3,200 recovered

"The appeal letter was better than anything our billing team had written — specific, defensible, and ready to send."

Cardiology Practice
Los Angeles, California
Nuclear stress test denial reversed in 19 days
48hr turnaround

"Uploaded our 835 file Monday. Complete report Tuesday afternoon showing exactly which CPTs were underpaid."

Dermatology Group
Orange County, California
$47K underpayment identified across CPT 11102, 17000
Why Revyola

Why not just hire
a billing company?

Billing companies charge monthly retainers regardless of results. They miss silent underpayments. They take weeks. Here's the honest comparison.

Feature
Revyola
Billing Co.
In-house
Upfront cost
$0
$2,000–$8,000/mo
$60K–$120K/yr
Time to first insights
1 business day
4–6 weeks
3–6 months
Silent underpayment detect
Yes
No
No
Appeal letter generation
40 seconds
2–3 days
60–90 min
Payer behavioral scoring
Yes
No
No
CARC-grounded arguments
Yes
Sometimes
Sometimes
Pay when you recover
Yes
No
N/A
HIPAA + BAA
Yes
Sometimes
check
Zero upfront. Zero monthly fees. Zero risk.
We earn only when you recover. If we find nothing, you owe nothing.
Run Free Audit →
Built for every specialty

Not limited to one niche.
Built for the whole picture.

The same payer dysfunction shows up across every outpatient specialty. Revyola surfaces it — with CPT-level granularity.

Cardiology
933069345893653
Avg. annual recovery
$212K
Top variance payer
Humana MA
Dermatology
111021700017311
Avg. annual recovery
$87K
Top variance payer
UHC
Orthopedics
274462982720610
Avg. annual recovery
$143K
Top variance payer
Aetna
Gastroenterology
432394538043251
Avg. annual recovery
$98K
Top variance payer
Cigna
Pulmonology
940603162394375
Avg. annual recovery
$76K
Top variance payer
BCBS
Oncology
9641396367G0490
Avg. annual recovery
$184K
Top variance payer
Medicare Adv.
Neurology
958866448362323
Avg. annual recovery
$91K
Top variance payer
UHC
Rheumatology
992152061096372
Avg. annual recovery
$67K
Top variance payer
Aetna
Platform

Built to be trusted
at the institutional level.

HIPAA compliance isn't a checkbox. It's how the entire platform was designed from day one.

🔒

HIPAA-compliant architecture

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.

🤖

Claude for Healthcare — Anthropic

Powered by Anthropic's Claude for Healthcare — the HIPAA-ready AI platform trusted by Banner Health, Sanofi, and leading health systems. Same infrastructure, purpose-built for RCM.

��️

BAA Available

Business Associate Agreements available for all practices. Zero data retention beyond what you authorize. Your claims are yours.

EDI 835 + any EHR

Native EDI 835 remittance parsing. CSV from any practice management system. Athena, Epic, AdvancedMD, Kareo, Modernizing Medicine, Waystar, Availity — all supported.

🔍

PHI scrubbing before AI

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.

🏥

Built in California, for US healthcare

Deep knowledge of US payer behavior across all 50 states. Relationships with specialty practices across the United States.

Founder

Built by someone who watched
the system win for too long.

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.

Founder
Shailesh Kumar
CEO, Revyola
Background
20+ years
Healthcare technology
Education
UCLA Anderson MBA
Technology Management
Architecture
9 AI Agents
Built from zero to production
Get started

Your payers are counting
on your silence.

Upload your claims file. Get a complete recovery report in 1 business day. Pay nothing unless we recover something.

Run Free Recovery AuditSign in to dashboard →
Zero upfront cost1 business day delivery25% success fee onlyHIPAA compliantBAA available
Contact

Run your free
recovery audit.

Upload your claims file and receive a complete revenue recovery report within 1 business day. No contract, no monthly fee, no risk.

Recovery report within 1 business day
💰25% success fee — pay nothing upfront
🔒HIPAA compliant, BAA provided
📝Appeal letters ready to send
info@revyola.com →