Red Sky Health launches claims management solution
By HME News Staff
Updated 9:54 AM CDT, Thu April 10, 2025
NEW YORK – Red Sky Health has launched Daniel, a proprietary AI-solution that the company says helps health care providers recover earned revenue by identifying the root causes of claims errors, fixing them in real time and resubmitting claims. The solution also automates denials analysis by identifying the reason behind the rejection and fixes it in real time. Once corrected, the solution then automatically resubmits the remediated claim to the insurance company on behalf of the provider, which helps them recapture money from claims that were previously denied. “With more than $4.5 trillion in insurance claims each year, healthcare denials can have a significant impact on a provider's revenue cycle,” said Jai Pillai, COO. “The time it takes to be reimbursed is also increasing, as 84% of health care organizations said they would make reducing denied claims a top priority. Unlike other offerings, Daniel uses advanced AI algorithms so our customers can view the recommendations to remediate the denials. Using large denial datasets as inputs to our proprietary algorithms, Daniel programmatically makes corrections to denied claims and resubmits corrected claims to the payer to optimize revenue recovery.” This latest news follows closely on the heels of the Red Sky’s recently announced and oversubscribed seed funding round, a clear indication the company says that its solution addresses the staggering amount of insurance claims that are denied annually, costing providers an estimated $262 billion in lost revenue.
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