Appeal Drafter
Paste the denial letter and clinical notes. RediClaim drafts a medically and procedurally grounded appeal letter that cites the specific coverage policy, coding justification, and medical necessity argument.
RediClaim™ is AI-powered claim denial defense built for independent primary care and mental health practices. Appeal letters, pre-submission claim scrubbing, and coding review — in minutes, not hours.
Major insurers use AI to deny and downcode claims at scale. Most denials are winnable on appeal — but appealing one claim takes hours, and independent practices rarely have staff to spare.
Paste the denial or the clinical note. Get a defensible, policy-aware output in minutes. Every tool cites the relevant ICD-10 codes and CMS coverage determinations used in its reasoning.
Paste the denial letter and clinical notes. RediClaim drafts a medically and procedurally grounded appeal letter that cites the specific coverage policy, coding justification, and medical necessity argument.
Before submission, paste the encounter note and intended codes. RediClaim flags likely denial risks, missing documentation, and coding mismatches — so problems get fixed up front, not three weeks later.
Surfaces when clinical documentation supports a more accurate CPT code than the one selected. Not upcoding — accurate coding. Protects revenue that is already clinically earned.
Medical data deserves more than a prompt sent to a third-party API. Cylinx runs its own infrastructure so your information is never someone else's training data.
Cylinx filed a U.S. provisional patent covering its integrated claim defense system in April 2026. The architecture — not just the interface — is protected.
All AI inference runs on Cylinx-owned hardware located in the United States. No third-party LLM providers. No foreign server farms. No data brokers.
Cylinx LLC is privately held and independently funded. No venture pressure, no data-for-dollars business model, no incentive to repackage practice data as a feature.
RediClaim is designed for practices where the billing team is one or two people and every denied claim is a line item that matters.
Family medicine, internal medicine, and pediatrics. High volume of routine visits, complex coding around chronic care management, and an unforgiving mix of payers. The specialties hit hardest by mass-denial AI.
Psychiatry, psychology, counseling, and therapy practices. Telehealth coding, time-based CPT codes, and medical-necessity denials that require nuanced appeal language to reverse.
A straightforward onboarding gets your practice up and running — no lengthy implementations and no enterprise-style paperwork.
Submit the Get Started form. We review each request to make sure the practice profile fits — small, independent, and actively dealing with denial volume.
A short call to understand your workflow, configure your environment, and set up accounts for your team. Typically same-week once the profile is approved.
Run your real denials, encounter notes, and coding reviews through the tool. We check in at 2 weeks, 30 days, and 60 days to tune RediClaim to your practice’s workflow.
Access is granted by fit. Tell us about your practice and we will be in touch within two business days.
Get Started