CLAIM DENIAL AND APPEAL RECOVERY

Denied claims worked automatically, not written off.

A multi-location dental group working thousands of claims a month across a dozen payers.

$340k
Recovered in first 90 days
THE CHALLENGE

Denials were quietly becoming write-offs.

Every payer sends denials back in a different format, on a different timeline, through a different portal. The billing team could only work the largest ones by hand. The rest aged out past the appeal window and became write-offs (revenue the practice had already earned).

They had tried an off-the-shelf AI billing tool, but it only covered the common denial types and a handful of payers. Everything outside its templates fell back on the team, and there was no way to bend it to how this practice actually bills.

Hiring more billers did not fix it either. The work scaled with claim volume, and the appeal deadlines did not wait. Money the group was owed leaked out every month, and no one had a clear view of how much.

HOW WE PARTNERED

How we partnered.

Instead of buying another general-purpose tool and bending their process to fit it, the group built their own. The billing lead composed a denial and appeal recovery workflow in the Hubble studio, in plain language, no code, tailored to their payers and their denial patterns. Hubble's mediated access to the payers was already wired in, so the workflow could read remittances, pull the underlying claim and clinical detail, draft the appeal, and submit it back to each payer.

Denials now get caught the day they land. The workflow works them against each payer's rules, files the appeal before the deadline, and reports every recovered dollar on a live dashboard. The billing team moved from chasing denials to reviewing the handful the workflow flags for a human.

What Hubble delivered

  • Epic reads and writes through one platform
  • Provider-mediated access (no per-tenant App Orchard project)
  • Same API across every tenant, every workflow
  • Audit trail and structured output on every call
THE IMPACT

What changed after Hubble.

$340k
Revenue recovered in first 90 days
3x
More denials worked per biller
78%
Of denials now appealed before the deadline

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