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.
Revyola analyzes your already-paid claims, finds the money payers shorted you, and does the work to get it back — through existing payer channels.
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.
Variance detection, denial classification, CARC/RARC root cause analysis, payer behavior scoring, eligibility verification — all automated and running in parallel.
Payer-specific, CARC-grounded appeal letters for every recoverable denial — with clinical justification, contractual basis, and supporting documentation checklist. Ready to send.
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.
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.
Every claim passes through the full intelligence stack — in parallel, in seconds, with full audit trail.
Compares every claim against Medicare benchmark × payer multiplier. Flags underpayments even when no denial was issued — the silent leak most billing software never surfaces.
CARC/RARC-grounded letters generated in 40 seconds. Payer-specific arguments, correct legal framing, contractual basis. Ready to send — not a template to rewrite.
Behavioral scoring across claims — identifies systematic underpayment by CPT, payer compliance grade, negotiation leverage points, and annual leakage estimates.
No hidden fees. No long-term contracts unless you want them. We built every pricing tier so Revyola earns only when you do.
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.
Illustrative results based on the patterns we identify across specialty practices.
"We had no idea Humana was systematically underpaying our echo codes. Revyola found it in 48 hours."
"The appeal letter was better than anything our billing team had written — specific, defensible, and ready to send."
"Uploaded our 835 file Monday. Complete report Tuesday afternoon showing exactly which CPTs were underpaid."
Billing companies charge monthly retainers regardless of results. They miss silent underpayments. They take weeks. Here's the honest comparison.
The same payer dysfunction shows up across every outpatient specialty. Revyola surfaces it — with CPT-level granularity.
HIPAA compliance isn't a checkbox. It's how the entire platform was designed from day one.
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.
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.
Business Associate Agreements available for all practices. Zero data retention beyond what you authorize. Your claims are yours.
Native EDI 835 remittance parsing. CSV from any practice management system. Athena, Epic, AdvancedMD, Kareo, Modernizing Medicine, Waystar, Availity — all supported.
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.
Deep knowledge of US payer behavior across all 50 states. Relationships with specialty practices across the United States.
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.
Upload your claims file. Get a complete recovery report in 1 business day. Pay nothing unless we recover something.
Upload your claims file and receive a complete revenue recovery report within 1 business day. No contract, no monthly fee, no risk.