How much of your staff's week goes to paperwork an insurer asked for?

Remedi writes the paperwork insurers ask for before they'll pay: appeals, prior authorizations, medical necessity letters, resubmission notes and therapy progress notes. It also checks codes against the government's own published files before a claim goes out. A person at the practice reads every letter and decides what gets sent. Remedi never sends anything to a payer on its own.

Your team won a tough denial last month. Where is the reason it won written down?

Your staff pastes in what they already have: the denial, the chart note, the procedure. Remedi drafts the letter in a minute or two, written to that payer's rules.

When a letter wins, the biller writes one line about what made the difference. That note comes back the next time anyone at the practice writes to that payer. Once three separate practices find the same thing about a payer, it goes to every practice on Remedi, with no practice's name on it. A practice that joins next year starts with what everyone learned this year.

Where in the claim are you losing the most right now: before it goes out, or after it comes back?

Who it's for

• Billing companies

  You're paid on what your practices collect. How many denials is your team leaving unworked right now?

  Your team writes appeals and authorizations for every practice you serve. Remedi cuts each letter to a minute or two. Every win makes the next letter to that payer stronger. Each practice's dashboard shows what its letters recovered, which is your proof of value when the practice asks what it's paying you for.

• Specialty practices

  How many authorizations are sitting there waiting for a letter nobody has had time to write?

  Orthopedics, spine and neurosurgery, pain management, gastroenterology, cardiology, oncology, urology: anywhere prior authorizations and denials pile up. The medical necessity letter is written in the treating physician's voice, ready for their signature, so the doctor reviews it and doesn't have to write it.

• Surgery centers

  How many cases moved this month because the authorization wasn't back yet?

  The authorization has to be in hand before the case goes on the schedule, and a denial after the case is money already spent. Remedi drafts both the request going in and the appeal coming back.

• Device and equipment suppliers

  How many of your denials go back to a chart note you never saw?

  An equipment claim is decided on the ordering physician's notes, and the supplier can't write or fix those notes. Remedi works in the physician's office, where the notes get written, and its letters already know how equipment claims are judged: mobility limits inside the home, functional levels for prosthetics, and the rest. It doesn't price equipment.

• Physical therapy and chiropractic

  Who writes your progress notes, and what time of night do they do it?

  The progress note that gets more visits approved is usually written late, after a full day of patients. Paste in the first note, and Remedi writes up functional status and the case for continued care in the language payers look for.

• Manufacturers and distributors

  How often is your product denied for a reason that has nothing to do with the product?

  Your products get denied over paperwork at a practice you don't control. When the practices you sell to use Remedi, the documentation behind your products gets stronger before the payer ever sees it.

• Rep agencies

  What could you bring your practices that they'd still thank you for a year later?

  Remedi is a line you can carry into practices you already call on. It keeps getting better after the sale, because every practice on the network makes it more useful to the others.

What it doesn't do

It doesn't send anything. Every letter goes to a person at the practice, who reads it and decides. It doesn't make up policy numbers: if nobody gave it the policy, it won't cite one. It doesn't price equipment. It doesn't connect to your EHR yet, so staff paste in what they need. And it doesn't own your records. The practice does, and they stay with the practice.

Patient privacy

Remedi is built so patient identifiers never go in. Before any text reaches the AI, a check on our server looks for names, dates of birth, member numbers, claim numbers, Social Security numbers, phone numbers and email addresses. If it finds one, it flags it and asks the biller to remove it before anything is sent. The clearest identifiers, like a member number, a claim number, or a name paired with a date of birth, stop the request outright. Anything shared across the network goes through a stricter version of the same check and never carries a practice's name. We are moving Remedi's hosting and its AI to Amazon, under Amazon's HIPAA business associate agreement.

What's next

Physicians in inpatient rehabilitation say most of their day goes to documentation. One told us it takes 75 to 80 percent of his time, and that without it he could see 30 to 40 patients a day. We're building a separate product for that: the visit is recorded with the patient's disclosure and signed consent, then written into the facility's template for the physician to review and sign.

Who built it

Atul Kaushal, MD, MBA. Physician. He earned his Kellogg MBA as a triple major while working full time at Deloitte, where he applied design thinking principles to physician and employee experience. He left clinical practice about 20 years ago, frustrated by how much insurance and pharmaceutical interests had come to shape care, and built Remedi himself, for the small offices that carry most of that weight.