For your role · VP Revenue Cycle
Every denial classified. Every appeal drafted. Every dollar accounted for.
Your team is exhausted. Denial volume is up. Appeal cycles are getting longer. Your billing staff is hand-writing the same appeal language for the third time. Your AR clock keeps ticking. We deploy denial intelligence in 45 days. Your team works a queue, not a spreadsheet.
Become a design partnerWhat changes for your team
Three concrete shifts in how the revenue cycle runs.
Denials
Today
Your team opens a denial spreadsheet every morning, sorts by date or payer, and starts working from the top. The same appeal language gets written three different ways depending on who is on shift. High-dollar denials sit next to low-dollar ones in the queue. Some never get worked at all because the timely filing window closed.
In 90 days
Your team opens a queue where every denial is already classified by root cause. Appeals are pre-drafted with the exact CMS publication, NCD, LCD, or payer policy citation that supports them. Items are sorted by recoverable dollar amount and timely filing deadline. Nothing slips through because the deadline is counted down to the day on the work item itself.
Prior auth
Today
Your prior auth team spends three hours a day chasing payer portals. They learn about a denial when the bill bounces back, usually weeks after care was delivered, often after the appeal window has closed. The CMS-0057-F response clock that should be in your favor is invisible because nobody is watching it.
In 90 days
The 7-day standard and 72-hour expedited PA response clocks are tracked per payer in real time. When a payer breaches, your team has the documentation in hand to escalate. Per-payer compliance scorecards make it visible which payers are systematically out of compliance, leverage you can use in your next contract negotiation.
Underpayments
Today
Underpayments are caught by spot-checks, not by system. Systematic underpayment patterns, a payer consistently underpaying a specific code combination, go unnoticed for months. Your revenue integrity team works what they have time to work, which is rarely enough.
In 90 days
Every ERA is checked against the contracted rate at the moment it arrives. Underpayments above your configured threshold create work items in the revenue integrity queue automatically. Pattern detection surfaces systematic underpayment behavior, the kind that recovers six and seven figures when you take it back to the payer.
A choice no other vendor offers
Speed-first or quality-first. You decide.
A cash-constrained community hospital with 18 days cash-on-hand has different priorities than a 1,200-bed academic medical center with a strong balance sheet. Intelyra treats this as a configurable strategy, not a hard-coded rule.
Speed-first mode
Submit claims after the attestation timeout window even if a physician has not yet responded. Generate cash from the uncontested portion immediately, recover the held codes through the appeals process.
- • Time to first cash: 3–8 days
- • Total revenue recovery: 90–94% of theoretical maximum
- • Best for: cash-constrained systems, high AR aging
Quality-first mode
Hold claims until all attestations resolve. Higher first-pass payment rates, lower administrative cost, fewer payer relationship frictions. A hard deadline prevents indefinite holds.
- • First-pass rate: 88–94%
- • Total revenue recovery: 95–98% of theoretical maximum
- • Best for: cash-cushioned systems, high-margin operations
We can also surface a recommendation based on your current days-cash-on-hand, automatically suggesting a mode change when the metric crosses a configured threshold. Your submission strategy becomes an active financial management tool, not a one-time configuration.
Stop watching the AR clock tick.
Read-only access to your 837 and 835 data. 45 days to a live denial queue. 90 days to an ROI report. No EHR integration. No multi-year contract.
Become a design partner