Cofactor™ is building the Financial intelligence layer to transform billions of lost inpatient revenue into a value capture engine for hospitals.
We identify discrepancies between claims, documentation, payer policies, coding guidelines, standard of care guidelines, and provider contracts to automatically prevent insurance denials, identify underpayments, and instantly generate appeals.
Testimonials
Cofactor has significantly improved our team’s efficiency in appealing complex clinical denials and DRG downgrades. Since implementing the platform, we’ve cut the time spent per case by more than half across our RCM and HIM teams. What used to be a labor-intensive process is now so streamlined that sending the appeal is the slowest part.
VP of RCM
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Increase Recovery Rates
Turn more denials into payments by using data-driven insights to know exactly what evidence each payer needs to approve appeals.
Reduce Cost to Collect
Transform your costly appeals process into a streamlined, automated workflow that lets your team focus on high-value activities.
Reduce Revenue Leakage
Ensure accurate identification and resolution of claim issues to prevent revenue leakage through an intelligent, automated solution.
Optimize RCM Team
Process appeals faster by automating documentation gathering, submission formatting, and status tracking across all payers.
Improve Productivity
Transform your revenue cycle with automated appeals that reduce days in A/R from months to weeks.
Improve Quality
Transform denied claims into recovered revenue at scale with AI that catches every appealable denial and maximizes success rates.
Improve Overturn Rates
Win more appeals and transform denied claims into approved reimbursements by leveraging AI-powered insights that identify exactly what evidence payers need, built on millions of data points.
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