Sift Healthcare works on the revenue cycle, specifically claim denials, which are one of the largest recoverable losses in provider finance. A denied claim is higher-priced twice over: the revenue is delayed or lost, and staff time is consumed appealing it, often for claims that were predictable failures at submission.
Its RevProtect platform is preventive rather than purely reactive. Predicting which claims are likely to be denied allows correction before submission, which is far cheaper than appealing afterwards. Where denials do occur, it prioritises accounts receivable follow-up so limited staff work the accounts most likely to be recovered, rather than working a queue in date order.
Root-cause analytics close the loop by identifying the upstream patterns generating denials, which is what turns a recovery tool into a process improvement one. This is provider revenue cycle infrastructure sold through enterprise procurement.
