Red Sky Health

• 14/01/2025
• Seed
• $3,000,000

Our mission is to get healthcare providers paid by automating the remediation of their health insurance claim denials. We have created Daniel - our AI platform that utilizes Machine Learning (ML) to fix denied claims by analyzing each denial, determining what is wrong, and providing recommended actions to fix the claim so it can be re-submitted for approval and payment.

Our vision: An environment where every healthcare claim denial is processed in real time, efficiently and accurately, allowing providers to dedicate more time to patient care.

Using the Red Sky Health program improves revenue by identifying opportunities for chronic care management. This benefits patient care, increases quality scores and generates potential for incentive payments. The use of coding recommendations improves claims accuracy ensuring no over or underbilling.

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