Pioneering autonomous denial recovery with AI
How Rebound Orthopedics, a leading Pacific Northwest multi-specialty practice, used Gabeo's autonomous AI to power touchless denial recovery in an eight-week proof of concept.
$54,469
total financial impact
4:1
return on investment
92%
recovery efficiency rate
The challenge
Payers are rapidly adopting AI to deny claims faster and more accurately, often leveraging technology to exploit documentation gaps and compliance failures. Frequent and complex policy changes further disadvantage providers.
Without the right technology, providers risk losing recoverable revenue to growing professional write-offs, operational inefficiencies that limit denial resolution rates, and prolonged Days to Payment that strain cash flow.
The solution
Over an eight-week proof of concept, Gabeo ran touchless denial recovery for Rebound's revenue cycle team on three principles:
- Fully automated resubmissions and appeals for targeted denial codes, eliminating human intervention from the recovery loop.
- Root-cause analysis that identifies the core issues behind denials by analyzing trends across CARC and RARC codes, then payer behavior at the policy level.
- Continuous prioritization of the highest-value, most-recoverable denials so effort goes where the return is greatest.