Get paid for
every claim
you’ve earned.
TagoHealth finds every denied and unpaid claim, works out why it was denied, and pursues it until it’s paid. AI does the investigation. Expert billers do the follow-through. All inside your existing systems.
Works inside
Done by
New hires
Software
Denials are a
silent leak.
Denials don’t just delay revenue. Most are never reworked, so they age out of A/R and get written off, even though much of that money is recoverable.
01 · Denied
15%
of claims sent to private payers are denied on the first submission.
Source: Premier Inc. survey, 2024
02 · Abandoned
65%
of denied claims are never reworked. That revenue is simply written off.
Source: HFMA, industry estimate
03 · Recoverable
54%
of denials that do get contested end up paid. The money is there.
Source: Premier Inc. survey, 2024
Four specialists,
one recovery team.
AI does the investigating. Certified billers make the call and work each claim to payment, inside your systems.
TH-01
Denial investigator
Rebuilds each claim’s journey and pinpoints exactly why it was denied.
Reads
835 remits, EHR
Delivers
Root cause + next step
Run by
AI + biller
TH-02
Appeals specialist
Drafts payer-ready appeals from clinical notes and tracks every deadline.
Reads
Notes, payer policy
Delivers
Filed appeal
Run by
AI + biller
TH-03
Variance recovery
Checks every payment against your contracts and chases the variance.
Reads
Remits, contracts
Delivers
Recovered variance
Run by
AI + biller
TH-04
Prevention analyst
Turns recurring denials into fixes for intake, coding and contracting.
Reads
Denial history
Delivers
Root-cause report
Run by
AI + analyst
Anatomy of
a recovery.
Every claim runs through the same five layers, so the work is consistent, auditable and easy to review.
01
Signal
Denials, remits and aged A/R pulled from your EHR and clearinghouse.
01
02
Investigation
AI rebuilds the claim timeline and finds the real root cause.
02
03
Payer memory
Payer rules, contract terms and what got paid last time.
03
04
Expert billers
Certified billers correct, resubmit and appeal in your systems.
04
05
Guardrails
Role-based access, approvals and a full audit trail.
05
Recovering in weeks,
not quarters.
Four steps, no system change. It starts with a review of your denials, so you see what’s recoverable before you commit to anything.
Week 0
We review a batch of your denials and show what’s recoverable, and why.
Denial review
Recovery estimate
Week 1
Secure access to your EHR, clearinghouse and payer portals. Nothing to install.
BAA signed
Access plan
Week 2
AI investigates. Billers work every claim to payment in your workflow.
Claims worked
Weekly report
Week 3
Root causes go back to intake, coding and contracting, so denials stop recurring.
Root-cause log
Dashboard
Fig. 04
Straight
answers.
Anything else? Bring it to the call. We’ll walk through your denials together.
N.01
What is denial intelligence?
Knowing why every claim was denied, whether it’s recoverable, and how to stop it happening again. Our AI does the investigating. Our billers do the recovering.
N.02
Do you replace our billing team?
N.03
Do we need to change systems?
N.04
How is this different from outsourcing?
N.05
What happens on the call?