PrismIQ
Revenue belongs to the physicians who earned it.Overturn Denials with Policy-Level Precision
Every month, a biller at a small orthopedic or spine surgery practice gets a remittance back from Anthem Blue Cross and makes a quiet decision: is this worth fighting? PrismIQ answers that question before she picks up the phone — and drafts the appeal before she finishes her coffee.
Total Knee Arthroplasty
Anthem Blue Cross
Cervical Fusion
UnitedHealthcare
+ 1 more claim pending analysis
How It Works
From denied claim to appeal letter in three simple steps.
Connect your ERA/835 feed
Upload denied claims or connect your ERA/835 feed directly. We accept all major clearinghouse formats.
PrismIQ analyzes payer policy
Our AI cross-references the denial reason code against current payer policy language and medical necessity criteria.
Receive your appeal letter
You receive a policy-cited, ready-to-send appeal letter within 24 hours. No templates — constructed arguments.
Request a Pilot
Share a sample of your Anthem denied claims. We'll show you exactly what was recoverable — and return a ready-to-send appeal for your hardest denial within 24 hours.
Every denial is a story. PrismIQ writes the rebuttal.