For your role · CFO
The dollars your RCM stack is missing: identified and documented.
For a 500-bed hospital with $400M in net patient revenue, $12–18M is walking out the door every year to denials your team appeals three different ways, prior authorizations nobody chases, underpayments you would catch if anyone had time to look. We will show you exactly where, in 90 days, with no upfront cost.
Get the diagnosticThe numbers your peers are seeing
Recovery ranges, by hospital size.
300-bed system
Year-one recovery range
Typical net patient revenue $200–300M. Denial rate 8–12%. Recovery comes primarily from auto-classified denial appeals and underpayment detection.
500-bed system
Year-one recovery range
Typical net patient revenue $350–500M. Recovery includes denials, prior auth-related leakage, and systematic underpayment patterns surfaced by the radar.
1,000-bed system
Year-one recovery range
Typical net patient revenue $700M+. Larger systems show higher recovery in absolute dollars but similar percentage of leakage.
Ranges reflect the typical span across mid-market hospitals at each scale. Your specific recovery depends on payer mix, denial baseline, and the strategy you select, speed-first vs. quality-first claim submission.
The 90-day diagnostic
An ROI report you can take to the board.
We request read-only access to your 837 claims and 835 ERA data via SFTP. No EHR integration. No multi-year contract. Your security team reviews and signs in days, not weeks.
Within 45 days, your billing team is working a daily denial queue produced by Intelyra, with auto-drafted appeals citing real CMS publications. Within 90 days, you have a CFO-grade ROI report showing dollars recovered through Intelyra versus the baseline.
If we don't find at least $1M in recoverable revenue, you owe us nothing.
What's in the report
- Total recoverable leakage by source Denials, underpayments, prior auth failures, broken out by category and dollar value.
- Per-payer scorecard Which payers are denying what code combinations, and how much each is costing you per quarter.
- Recovered dollars during the pilot Real recovery happening live, not projected, with every dollar traceable to the source document.
- Year-one projection Expected recovery in months 4–12 if the pilot continues, with confidence ranges by category.
- CFO-grade source documentation Every figure clicks through to the underlying ERA, contract clause, or CMS publication.
Board-ready, not buzzword-ready
Every number we give you is documented to a source.
CFOs cannot take black-box AI claims to a finance committee. Intelyra is built so every recovered dollar is auditable: every denial classification cites the CARC/RARC taxonomy, every underpayment flag references the specific contract clause, every appeal includes the NCD or LCD that supports it. The argument to your board is no longer "the AI says so." It is "this NCD says so, and here is the document."