AI-native denial management
Defend your greatest asset — the patient.
Caserev reads every denial and records request that comes in, pulls the clinical documentation that supports it, cites the Medicare coverage rules that apply, and tracks each case to resolution, so you aren't leaving revenue on the table. Built for skilled nursing, long-term care, and therapy providers the big revenue-cycle vendors overlook.
The Problem
The Volume of Denials is on the Rise
Spent each year by US providers going back and forth with insurers to get claims paid. Premier estimates roughly $18B of it is avoidable.
PREMIER, 2025Of claims denied on first submission in 2024, up from 9.4% the year before. The line keeps going the wrong way.
KODIAK SOLUTIONS, 2025Of denials are eventually overturned on appeal. The money was recoverable all along. What was missing was the staff hours to go get it.
PREMIER, 2025Of providers use any AI to handle claims or denials today. Insurers are not waiting.
EXPERIAN HEALTH, 2025The gap
The tools built to fight this weren't built for you.
Enterprise AI platforms
Innovaccer · AKASA · AdonisDesigned around top-100 health systems and their IT departments
Long procurement cycles and multi-quarter rollouts
Not built for a community hospital
Outsourced service firms
Aspirion · R1 RCM · OptumBuilt around high claim volumes
You hand over your cases and give up control of the process and the data
Caserev is software your team runs. Not an outsourced department. The workflow, the case files, and the data stay yours.
How it works
From denial letter to signed appeal, in one place.
A denial or records request arrives
Caserev picks it up automatically, however it comes in.
The reason gets pinpointed
AI identifies exactly why the claim was denied and flags denials that don't follow the rules.
The appeal gets drafted
A first-draft appeal packet, with the supporting evidence cited, ready for your reviewer to edit and sign.
Tracked until it's resolved
Every case followed on one dashboard, through each deadline to final payment.
A person is always in the loop. Caserev drafts; your team reviews, decides and signs.
Who it's for
Providers up against insurers who already use AI.
Skilled Nursing & Long-Term Care
Getting paid for every day of covered care and staying ahead of Medicare's requests for records.
Outpatient Rehab & Therapy
Physical, occupational, and speech therapy clinics dealing with Medicare therapy limits and claims rejected on billing technicalities.
Community Hospitals
Regional hospitals defending inpatient admissions and the medical necessity of the care they provide.
What changes
Less busywork. More Revenue Retained
The reason so much recoverable revenue is never chased isn't skill. It's hours. Caserev gives those hours back.
Faster turnaround per appeal
Your team edits and submits instead of starting from a blank page and a stack of records.
Fewer denials written off
Small-dollar denials that were never worth the staff time become worth working again.
One view of every open case
No more spreadsheets, sticky notes, or asking whoever remembers where a denial stands.
Your team keeps control
Caserev handles the repetitive extraction and drafting. Your staff makes every decision that matters.
Founding partners
Let's build this on your denials.
Caserev is early, which means a founding partner shapes what gets built next.