Most practices can only appeal a fraction of denied claims — there aren't enough hours. Imverra works every one, automatically, with specialty-aware precision.
For most community practices, denial recovery is a reactive scramble — underpowered, under-resourced, and heavily dependent on which billers showed up that week.
Imverra was built from the ground up for the revenue cycle — the CPT codes, the payer policies, the drug codes, the prior auth rules. Not adapted from a general-purpose tool.
From the moment a denial hits your remittance to the moment the appeal goes out, Imverra handles the work.
Your clearinghouse drops the 835 EDI file. Imverra ingests it automatically — no file uploads, no manual entry. Every claim line is parsed and classified within minutes of arrival.
Four specialized AI agents analyze each denied claim: classification agent (what type of denial?), policy retrieval agent (what does the payer policy say?), evidence agent (what clinical documentation supports appeal?), and appeal drafting agent (write the letter). Each stage has a confidence gate — low-confidence items are flagged for closer human review rather than auto-queued.
Each denial is scored by recovery probability and dollar value. The work queue surfaces the highest-impact claims first. Your biller opens a denial and sees: what happened, why, what the AI recommends, and a fully drafted appeal letter ready for their review.
Your biller reads the AI's analysis and the draft letter. They can approve it as-is (most of the time), edit before sending, or escalate an edge case for deeper review. This is the human-in-the-loop checkpoint — nothing goes to a payer without a human sign-off.
The approved appeal is submitted to the payer. Imverra tracks every open appeal, surfaces follow-up reminders at the right time, and captures the outcome — paid, denied again, or escalated to a peer-to-peer review.
Every outcome — win or loss — feeds back into the AI. Over time, the model builds a Payer Intelligence Graph: which arguments win with which payers on which denial types, across your practice and across every practice we serve. No single biller can build this. No individual practice can buy it.
Every appeal, every corrected claim, every escalation — a human approves it before it leaves the system. This is non-negotiable. Your biller is accountable; the AI is their assistant.
High-confidence, routine denials flow through fast. Unusual patterns, low-confidence classifications, and high-dollar edge cases are flagged for closer human review. The system knows what it doesn't know.
When your biller edits the AI's draft, that edit is captured as training signal. The model gets better. Your preferences become its habits.
Every AI recommendation, every human decision, every submission is logged with a timestamp and user ID. Full HIPAA-grade auditability throughout.
Re: Claim #84729 — Aetna — CPT 64483 — Epidural Injection
Date of Service: 05/14/2026 — Amount: $4,200
Dear Medical Director,
We are writing to appeal the denial of the above-referenced claim under reason code CARC 50 — Medical Necessity. This patient is a 62-year-old with chronic lumbar radiculopathy that has failed conservative care, including a documented 6+ weeks of physical therapy. The procedure is supported as medically necessary by the payer's LCD L34906 and current clinical guidelines...
[Letter continues with clinical evidence, policy citations, and documentation checklist]
Bring a sample of your recent 835 files. We'll run them through Imverra and show you exactly what recovery looks like — before you sign anything.
No commitment. No pitch. Real numbers from your real data.