Healthcare Operations OS · Private Preview

The control system for healthcare work.

CareState turns document-heavy administrative healthcare work — denials, appeals, and prior authorization — into structured, source-cited Case Control Files, so revenue cycle and clinical teams can review, track, and act with confidence.

From denial to evidence to reviewed appeal.

Recoverable denied dollars

surfaced and worked first

Appeal overturn rate

by payer and denial reason

Prior-auth turnaround

pending & expiring, watched

Days in A/R

with deadline risk flagged

Denial CO-197 (no prior authorization) is appealable: the service met the payer's medical-necessity criteria and an auth was on file at the date of service.

Payer Policy MP-0421 · Auth #A-88213 · verified against source“…authorization obtained prior to the date of service satisfies the plan's prior-authorization requirement for outpatient imaging.”

Illustrative synthetic example — every CareState finding carries its citation

The denial-to-appeal lifecycle, controlled

What was denied. Why. What evidence supports the appeal. What must happen before the deadline.

01

Intake

Denials, remittances, payer correspondence, and clinical documents — from spreadsheet, fax, email, or connector — become structured Case Control Files.

02

Classify

Every denial is categorized by reason and payer, matched to the correct patient, encounter, claim, and the versioned payer rule and filing deadline that govern it.

03

Assemble

Missing-evidence detection, coding and clinical review handoffs, and an AI-drafted appeal — every assertion carries its exact source citation.

04

Review

Nothing is final until a qualified person approves it. Appeal Evidence Assurance verifies the package is complete, supported, and current before release.

05

Submit

Authorized, human-controlled release. Track payer response, escalate the appeal level, record the recovery, and feed root-cause prevention.

Human review stays in control

CareState prepares AI-assisted, source-cited, review-ready work for qualified human review. The review queue is part of the architecture, not a disclaimer: every finding is verified against its cited source and held for the right reviewer before it enters any appeal package, and access to PHI is minimum-necessary and audited.

  • No autonomous clinical decisions
  • No final attestation without a qualified reviewer
  • No autonomous claim or appeal submission
  • PHI minimum-necessary, always audited

Built for healthcare enterprise environments

Pilots begin with controlled CSV/XLSX claims and denial exports and secure document intake. Microsoft 365, SharePoint/OneDrive, SFTP, and warehouse connectors — plus ERA/EOB, clearinghouse, and EHR interfaces — are part of the enterprise roadmap, prioritized by customer requirements and gated behind BAA and minimum-necessary PHI controls.

Currently in private preview

We're working with a small number of provider and revenue-cycle teams to pressure-test the denial-and-appeal workflow on real administrative healthcare work.

Request Access