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Choose Your Organization

Appeal Inputs

Tell Us About Yourself

Cofactor Layers

Improve Your ROI on Complex Appeals

Estimate how many hours Cofactor™ can save your team by automating denial workflows. Just select your facility to get a personalized time savings projection—based on real CMS data.

Estimated
Hours Saved:

5000

Built for the Denials That Hurt the Most

DRG downgrades are on the rise—and they're some of the hardest denials to win. Cofactor AI has proven success automating these complex inpatient denial types, reducing manual work while improving overturn rates.​

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Our platform is optimized for: 


  • DRG appeal workflows

  • Complex inpatient denials

  • Medical necessity and level of care disputes

  • High-dollar, high-complexity claims

Do More With the Team You Already Have

You can more than double the output of your FTEs while lowering the cost to collect. Cofactor enables your current staff to handle more appeals faster and more effectively—without burning out.By automatically generating appeals, conducting root cause analysis, and providing actionable insights through detailed analytics, we help your team focus on what matters most: recovering revenue.​

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Our customers see:

  • Appeals generated in under 15 minutes

  • $3,000 to $7,000 per claim, on average, clawed back

  • 100% of DRG downgrades processed

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Cybersecurity

Cofactor AI’s security infrastructure is built with the highest industry standards and follows industry-standard encryption protocols regarding all patient and customer data, both in transit and at rest. We also maintain strict access control measures, including role-based access controls to ensure that only authorized people have access to any data. We maintain 24/7 monitoring and have a detailed incident response policy to keep your data safe.

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Want to know more about Cofactor security? Request access to our trust center below.

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Integrations

Cofactor seamlessly integrates with your existing systems, making it easy to enhance your revenue cycle without disruption while supporting all EDI transactions. No matter what systems you're using, Cofactor works within your current setup to streamline processes and maximize efficiency.

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Payers and Clearinghouses 


  • Availity


  • Waystar

  • Experian

  • Quadax

  • Change

  • UnitedHealthcare

  • Aetna

  • BCBS

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EMR Integrations

  • Epic


  • Cerner


  • Meditech

  • Athena


  • Practice Fusion


  • eClinicalWorks

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Ready to Recover More Revenue?

Request a demo today and discover how our platform can help boost your efficiency, reduce costs, and increases successful DRG appeal rates.

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