Cofactor™ is building the intelligence layer to help hospitals capture the full value of the care they deliver.
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
The ROI was clear almost immediately. We're overturning denials we couldn't win before, including sepsis cases, and our team is working far more efficiently. Beyond just recovering revenue, Cofactor is surfacing root cause insights into what's driving these denials so we can prevent them.
Cofactor operates like a true partner. They're responsive, they listen to feedback, and they move quickly to solve problems. It's refreshing to work with a vendor that's actually invested in our success.
Increase Recovery Rates
Turn more denials into payments by using data-driven insights to know exactly what evidence each payer needs to approve appeals.
Gap Analysis
Every engagement starts with a gap analysis across your revenue cycle and operations. We surface where money is leaving and build a prioritized roadmap before a single agent is deployed.
Embedded Engineering
Our forward-deployed engineers work as an extension of your team, building agents tuned to your workflows, your payers, your EHR, and your staff.
Agents That Do the Work
Cofactor agents don't flag issues and route them back to your staff. They work the queue, gathering documentation, submitting appeals, verifying eligibility, and closing loops automatically.
Guaranteed ROI
We commit to a 3:1 ROI. For every dollar you invest in Cofactor, you get three back. That's not a projection. It's the terms we operate on.
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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