From pre-authorization to claim submission to AI-driven recovery — MedSure AI reviews, corrects and certifies every request and claim before it reaches the payer, and learns from every insurer decision.
*Performance figures are indicative targets and are confirmed against each customer's pilot results.
Pre-Auth → Treatment → MDIE → CQA → Revenue Intelligence → AI Recovery → Continuous Learning.
Ten engines working together on every claim your teams submit.
Reviews every pre-auth before submission — required documents, coding validity, clinical justification and insurer rules — with an approval probability and a Ready-for-Submission verdict.
Turns rejected pre-authorizations into corrected, evidence-backed resubmission packages with a recovery score, track-changes comparison and AI-drafted appeal letter.
Reads PDFs, scans, ZIP packets, Excel, XML and FHIR — classifies every page into a structured Digital Claim File.
20+ validation engines score documentation, coding, clinical justification and insurer compliance before submission.
Predicts approval likelihood per claim and per insurer, and explains every driver behind the number.
A versioned mirror of every claim — before and after correction, fully diffable.
Quantifies revenue at risk and the exact corrections that recover it, ranked by financial impact.
Links diagnoses, procedures, drugs, clinicians and payers to expose systemic patterns.
A living per-insurer playbook of documentation rules, coding preferences and rejection patterns that improves with every decision.
Flags duplicate billing, upcoding, phantom services and abnormal utilisation.
The screens your billing, credit control and finance teams use every day.
Annual licensing. Every plan starts with a 7-day enterprise trial.