Why did a bot reject my £2,400 ACL reconstruction claim?
The why and what to do about it
Automated insurer systems create increasingly complex hurdles to claim your revenue, leaving many valid claims on the table and losing you thousands.
We are UK's only proactive Healthcode shield that optimises your claims before submission.
Designed as PMS add-on or browser page/app. No need to replace software.
Result: faster and higher payouts.
We align your practice with insurer logic, automatically.
No more manual rework and billing mismatches.
Active revenue logic
Our engine defends against the three main causes of revenue loss. It verifies claims pre-submission to stop rejections, automatically chases shortfall gaps, and prevent revenue leakage. Total financial coverage.
Priority allocation
We strictly cap onboarding to ensure system stability. Inner Circle Partners bypass the waitlist for immediate integration. Your upfront commitment is 100% credited to your balance—covering your first ~£75,000 of processed revenue.
Manual resolution
Our core logic automates 97% of claim volume. The remaining 3% (complex clinical disputes) are routed to specialists for manual resolution. Enterprise infrastructure combining automated speed with human safety.
Privacy by design
Strict enterprise-grade Clinical cross-referencing.
To ensure coding accuracy, our engine performs a local semantic analysis of your anonymised appointment notes to cross-reference clinical activity against billing codes (e.g., verifying that 'Implant Log' or 'Total Hip Replacement' keywords match the submitted CCSD complexity).
This validation occurs exclusively within your local practice environment.
We do not store or cloud-host patient records. The only data that leaves your system is validated numerical strings, ensuring 100% GDPR compliance while preventing under-coding errors.
Billing parameters
Codes, policy rules, excess
Confidential care records
Clinical notes (encrypted/ignored)
Patient identity
Personal data (redacted)
The DNA & Shortfall Guard
Protection against no shows and coverage gaps.
Secure at booking
Patient verifies card via Stripe secure portal. No charge is made yet.
The encrypted vault
Card captured securely on file. Tokenised for safety, verified for validity.
The Trigger
Attend: Insurance billed / Card held
Shortfall: Charge the card
No show: Auto-process DNA fee
"It turns a Shortfall or No Show into protected revenue.
You stop chasing patients, and your cashflow becomes predictable."
The Recovery Efficiency Paradox
Performance comparison