Your AI Sees the Leaks. ANKA Closes Them
65% of denied claims are never resubmitted. 3–7% of payments arrive below contract. Claims past 120 days have a <15% chance of collection. Three leaks. One execution gap. One AI that closes all of them.
ANKA writes the appeal letter. Files the dispute. Calls the payer. Posts the payment. Your team handles the 10% that needs clinical judgment. ANKA autonomously executes the other 90%.
Your revenue cycle is losing money in three places at once
Every healthcare organization has three simultaneous revenue leaks that share a single root cause: nobody has the capacity to do the work. The data is sourced, the math is verifiable, and the gap is recoverable.
Your AI sees the leaks. ANKA closes them.
Six capabilities. One platform. Everything after claim submission
ANKA handles the entire post-submission revenue cycle — from unified AR visibility through autonomous resolution, self-learning orchestration, and executive intelligence.
Glass-Pane Interface
One unified AR view across EHRs, billing systems, clearinghouses, and payer portals. Every claim augmented with historical outcomes, payer rules, timely filing limits, and average days to payment. No more logging into six systems to understand one claim.
See the interface →AI-Driven Claim Prioritization
ML ranks every claim by recovery probability, dollar value, aging, and payer behavior. High-impact claims rise to the top automatically. Priorities shift dynamically as status or payer response changes. Human effort goes where it moves cash fastest.
How prioritization works →Orchestration Layer
The decision engine determines the next best action for each claim — using payer rules, provider-level nuances, and denial context. Resolve autonomously, route to a human, or park for follow-up. Tribal knowledge standardized and automated.
How decisions are made →Autonomous Resolution
Repeatable AR actions executed autonomously — appeal letters, resubmissions, document uploads, scheduled follow-ups. Complex claims (medical necessity, high-dollar) routed to humans pre-packaged with data, documents, and recommended steps. Voice AI for phone-based payer follow-ups.
See autonomous workflows →Self-Learning Orchestration
ANKA learns from every claim outcome. What actions work for which payers. Which scenarios resolve faster with which approach. Prioritization, routing, and decision logic improve continuously — without manual rule updates. Adapts to changing payer behavior automatically.
How the system learns →Revenue Leakage Intelligence
Identifies underpayments, recurring denial patterns, and payer behavior anomalies. Surfaces slow-response payers and inconsistent adjudication. Connects AR issues to root causes — eligibility, coding, authorization gaps. Prescriptive insights for CFOs, not just dashboards.
How intelligence works →Fee credited against engagement. Weeks to deploy. Not months.
One screen. Every claim. Every system
ANKA pulls data from your EHR, billing system, clearinghouse, and payer portals into a single unified view. No more logging into six systems to track one claim.
Unified AR queue with ML priority scoring, payer intelligence, and one-click autonomous actions.
Revenue Leakage Intelligence
Payer-level root cause analysis, recovery trends, and prescriptive actions for CFOs.
388 RCM vendors. Ask each one: “Do you execute, or just recommend?”
The answer separates every vendor in the market into three levels. Only one level actually closes the three leaks.
Shows You the Leaks
Dashboards, charts, aging reports. Identifies denied claims, underpaid claims, AR aging buckets. You see all three leaks. None are plugged. Most RCM analytics vendors, EHR tools, clearinghouses.
Tells Your Team What to Work
Suggests which claims to appeal first. Flags underpayments. Prioritizes AR queues. May draft templates. Your team still does all the actual work on all three leaks. AKASA, most “AI-powered” platforms, Waystar.
Closes All Three Leaks
Writes & files the appeal. Identifies & disputes the underpayment. Calls the payer IVR. Checks claim status. Posts the payment. All three leaks closed. Revenue recovered. Your team handles exceptions, not everything.
We wrote the full breakdown. Four tests to separate AI that executes from AI that displays. No gate. No form.
Why 90% of "AI" RCM Vendors Are Selling You a DashboardBuilt for mid-market healthcare. Not scaled down from enterprise
"I can't find or keep billing staff."
Physician Groups — 10–50+ Providers
Cardiology. Anesthesia. Pain management. Urology. DME. ANKA runs everything after claim submission — denials, follow-ups, underpayments, payment posting. Your team of 3 works like a team of 30.
Calculate Your ROI
"Revenue is leaking and I can't see where."
Community & Rural Hospitals
1% margins. 3–5% leakage. We work denials, recover underpayments, follow up with payers, and post payments your team doesn't have capacity to reconcile. Everything after submission.
Calculate Your ROI
"I need operating leverage across the portfolio."
PE-Backed Healthcare Organizations
Deploy ANKA's full revenue cycle execution at every portfolio company. Same playbook. 30–50% cost-to-collect reduction. EBITDA improvement through execution, not headcount.
Calculate Your ROI
"My team is drowning."
Revenue Cycle Leaders
Your people handle what needs human judgment — complex payer negotiations, clinical calls, relationship management. ANKA handles the other 90% of the revenue cycle workload.
Calculate Your ROIBattle-tested frameworks. Not marketing fluff
Built by operators who managed denial backlogs, underpayment disputes, and AR queues firsthand. Use them today.
MA Denial Playbook
Triage framework for the 59% MA denial surge. Real overturn rates by denial code. Which appeals win and which to write off.
Download PlaybookDenial Triage Protocol
Decision tree for teams managing 400+ denials/month with staff to work 50. Tier 1, 2, 3 classification. Use it Monday.
Download ProtocolRevenue Teardown
Dollar-by-dollar breakdown of $1M in lost revenue at a real 30-provider practice. Denials, underpayments, aged AR. Every number sourced.
See the TeardownNumbers. Not promises
51% Collections Improvement in 6 Months
Before: 27.93% revenue leakage. Coding errors in time-unit calculations and modifier logic. 2-person billing team handling entire revenue cycle.
After: 51% collections increase from baseline. 17% operational efficiency improvement. End-to-end revenue cycle execution eliminated coding errors and reconciled documentation across payer requirements.
47% Cost-to-Collect Reduction
Before: $82M open AR. $140M flagged bad debt. 33% net collection rate. 67% clean claim rate. Losing $1–2M/month across all AR categories.
After: 47% reduction in cost-to-collect. Clean claim rate brought to standard. Denials resolved within 24–48 hours. Entire back-end revenue cycle under management.
40% Collections Increase in Under 6 Months
Before: 72% of office visit denials traced to a single payer auth requirement nobody caught. NDC coding errors causing systematic claim failures.
After: 98% reduction in NDC-related denials. 40% collections increase. Root cause analysis across the full claim lifecycle identified the pattern — execution fixed it at scale.
Kodiak Solutions (2024): Initial denial rates hit 11.8% — 4th consecutive year of increases
HFMA / Change Healthcare: 65% of denied claims are never resubmitted
MGMA (n=519): 32% of practices wait 120+ days before any collection action
CMS: Claims past 120 days have <15% chance of collection
Every number sourced. Every outcome guaranteed in the contract.
Get your free Revenue Snapshot in 60 seconds.
Enter your work email. We'll send you a benchmarked estimate of what mid-market organizations your size typically lose to unworked denials, underpayments, and aged AR — with industry averages and recovery ranges. No call. No commitment. Just math.
Want your actual numbers instead of benchmarks? Get Your Free Assessment — complimentary for qualified organizations.
See what $1M in lost revenue actually looks like.
A dollar-by-dollar financial teardown of a real 30-provider practice — everything after claim submission. Unworked denials: $380K–$520K. Underpayments: $147K–$210K. Aged AR written off: $180K–$270K. Missed follow-ups: $95K–$140K. Every number sourced.
We guarantee the outcomes. In the contract. With teeth
Traditional vendors sell FTEs or subscriptions. You pay whether results improve or not. ANKA sells outcomes across your entire revenue cycle — with performance-based SLAs in writing.
Start: Contingency Recovery
Zero upfront cost. Zero monthly fee. We recover underpaid claims. You pay a percentage of what we find. If we find nothing, you owe nothing.
Typical first finding: $100K+ in recoverable underpayments.
Expand: Full Revenue Cycle Execution
Outcome-based pricing for end-to-end back-end RCM. SLAs on clean claim rate, denial rate, AR days, and net collections. Miss the target? Your fees go down automatically.
Near-zero marginal cost. 1,000 claims costs us the same as 100. That's how we afford the guarantee.
Find out what you're losing
ANKA runs a comprehensive assessment of your post-submission revenue cycle. Denial patterns. Underpayment leakage. AR aging exposure. Payer behavior anomalies. Staffing capacity gaps.
Complimentary for qualified organizations. If we don't find revenue worth recovering, you've confirmed your cycle is tight. No cost either way.
Calculate Your ROI5–10 business days. Typical finding: $100K+ in recoverable revenue.