AI-Driven Medical Claim Review Technology
AI-Driven Medical Claim Review Technology
Our Proprietary Claims Analysis Tool
Developed in-house as Advent Health Partners’ proprietary claims analysis tool, Apello was designed by clinical and technical nurses, coders, and claims analysts to review claims and build appeals all in one platform.
Apello creates searchable medical record data, with built-in functionality for a multitude of use cases. By enabling your current team to easily increase the total volume of appeal reviews from beginning to end, Apello reduces administrative costs and decreases time to revenue.
$1 Billion+
dollars recovered in revenue for our clients
600+
health systems and hospitals served
1.8 Million+
denials processed
The Impact of Apello
Communication Efficiencies
Increase communication efficiencies through easily shared documentation with health plans.
Compelling Appeal Packets
Seamlessly create appeal packets pinpointing decision data for compelling arguments.
Productivity Increases
Increase productivity by 300+% by streamlining decisions.
DRG and Clinical Validation
Apello technology not only intakes and extracts data from medical records but utilizes a proprietary search functionality that allows data to be extracted at the click of a button without requiring a visual review. Our technology is clinician-led, and clinical expertise is incorporated into every line of code written to bring healthcare-focused organization and efficiency to your workflow.
Combat Prior Authorization Denials
Prior authorization is one of the top causes of claim denials for hospitals and health systems, leading to millions of dollars in lost revenue every year. Advent Health Partners has the clinical expertise and the technology to help your organization combat prior authorization denials.
How Apello Works
- Aggregates: Creates searchable medical record data – including images.
- Answers: Increases total appeal reviews by leveraging clinical and coding resources.
- Assembles: Reduces administrative costs.
- Analyzes: Interfaces with internal and external systems.
- Automates: Apello facilitates machine learning.
Built-In EMR API Access
Simplify the clinical documentation and record retrieval process for claims reviews with Connect. With provider support, Connect enables health plan EMR access using FHIR to real-time data in medical records, itemized bills, and additional clinical documentation—while eliminating both provider’s and plan’s costly administrative burden.
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