AI for Denial Follow-Up Calls to Payers
CuraVoice gets your denial specialist to a live payer representative without the menu and the hold, so denied claims are worked sooner.
The problem
Working a denial by phone means getting to someone who can explain the denial and say what will reverse it. Reaching that person is slow, so low-value denials are often written off because nobody has the time to hold.
How the call runs
- Denied claims are loaded from your work queue.
- The agent calls the payer's claims line and selects the path to a representative.
- It enters the identifiers and waits.
- Your specialist joins the live call with the denial in front of them.
What your staff do
Your specialist argues the claim. With the wait removed, follow-up on smaller balances becomes worth doing.
Getting started
The agent works from a CSV export of your work queue, so no integration is needed to begin. Every call is recorded and logged with its outcome. See how payer calling works.
Common questions
Can it help with the appeal itself?
The platform also covers denial management, including root cause analysis and appeal preparation. See the payer calling page.
Does the AI speak to the payer representative?
By default, no. When a live representative answers, your staff member is warm-transferred into the call to have the conversation.
Related
Run it against your top payers
Tell us which payers your team calls most and we will show you a call from dial to hand-off.
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