You became a doctor to treat patients. Not to fight insurance companies.
Most practices don't have the tools or team to fight back against denied claims. ClaimIQ combines automated denial analysis with specialist-driven case resolution, with every case reviewed by experienced U.S.-based professionals who understand your healthcare specialty.
What is ClaimIQ
Senior-level expertise. Built into every case.
ClaimIQ is a revenue cycle platform built on the deep knowledge of senior medical coding, billing, and appeals professionals. Our team holds CPC, CCS, COC, and CPB certifications with over 10 years of hands-on coding experience, alongside senior appeals specialists with 12+ years working inside major insurers: Humana, Aetna, UnitedHealthcare, and WellCare.
That expertise is now available to practices of all sizes, without the enterprise price tag that puts senior-level RCM out of reach.
Whether you are a one-provider group or a 50-physician practice, ClaimIQ gives you the same caliber of coding review, denial analysis, and appeals resolution that billion-dollar health systems rely on.
100% U.S.-based specialist review. Every case is reviewed by an experienced U.S.-based specialist before results are delivered to your team. No black-box handoffs. Just clear, accountable billing and appeal work guided by professionals who understand U.S. payers, clinical documentation, and appeals strategy.
Team credentials
The problem
The revenue cycle is broken. You already know this.
Claims denied, money lost
Billions in claims are denied every year across U.S. providers. Most practices write off the loss because they don't have the staff or systems to fight back.
Work sent overseas
Legacy RCM companies ship your data offshore to vendors who don't know your payers, your policies, or your patients. You get a monthly PDF and zero accountability.
Too complex to fight back
Appeals require clinical documentation, payer-specific rules, filing deadlines, and specialized expertise. Most practices simply cannot afford the overhead.
How it works
Three steps. Full visibility. From upload to resolution.
ClaimIQ was designed to be simple for your practice and thorough on the back end. Here is exactly what happens when you submit a case.
Upload and submit your case
Your practice uploads the required documents to our encrypted cloud portal: denial letters, doctor visit notes, the patient's Explanation of Benefits, medical records, and any supporting clinical documentation.
Fill in your practice information and patient details. Once submitted, you receive a confirmation receipt with your assigned case number and a dedicated U.S.-based specialist.
ClaimIQ audits and assigns the case
ClaimIQ automatically audits the case, reviewing documentation completeness, identifying denial reason codes, and classifying the appeal type so the right strategy is applied from day one.
The case is assigned to the right in-house senior specialist based on type. Your case queue updates in real time so you always know exactly where things stand.
Specialist prepares your case for submission
Your assigned specialist now has the full case package, contract, coding, and billing information; prepares a payer-specific appeal and any supporting documentation package for submission.
You stay notified at every stage. The final submission documentation and related materials are all available in your dashboard.
Why ClaimIQ
The RCM industry runs on hidden workflows. ClaimIQ keeps the work visible.
The difference is not just software. It is visible workflow, named ownership, same-day status updates, and certified U.S.-based specialists working inside a process providers can actually follow. No work is handed off to overseas vendors.
Compliance
Built for scrutiny.
Every action logged. Every decision auditable. Every document exportable.
Audit trail by default
Every action (code selection, approval, submission, edits) is timestamped, attributed, and immutable. Exportable on demand for any compliance review.
Role-based access
Scoped permissions for every role. Providers see their cases. Specialists see their queue. Admins review everything. No shortcuts, no overreach.
HIPAA-first architecture
HIPAA compliant with BAA provided to every client. Document retention policies, versioned records, and complete submission history built in from day one.
Who it's for
Built for the practices fighting the hardest.
All practice sizes
Physician groups
Whether you are a solo practitioner or a multi-site group, ClaimIQ brings senior-certified U.S.-based revenue cycle expertise to your practice, without the overhead of an in-house RCM department.
High-value claims
Specialty practices
Orthopedics, oncology, cardiology. High-value claims mean high-value denials. ClaimIQ specializes in the cases that matter most to your bottom line.
Lean operations
Small hospitals and ASCs
Enterprise-grade denial management and case resolution without the enterprise contract or 6-month onboarding timeline.
30-Day Pilot
Try it on your real cases for 30 days.
Start with your actual denied claims: ClaimIQ-powered denial analysis, in-house specialist review, and direct insurer submission. No long-term contract. No integration headaches.