Case Studies › Corevonics

Healthtech & Digital Health

Billing automation that turns denials into revenue

Techdots built Corevonics from the ground up — a healthcare revenue cycle management platform that automates claim submission, scrubs errors before they reach payers, and surfaces denial patterns in real time. The goal was to eliminate the manual bottlenecks that cost independent practices thousands in delayed or lost reimbursement every month.

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Corevonics

Healthtech & Digital Health

67%

Reduction in claim denial rate

11 days

Faster average reimbursement cycle

3.2x

Increase in clean claims on first submission

16 weeks

timeline

This engagement is best for

Independent medical practices processing 500+ claims per month

Billing companies managing RCM for multiple provider groups

Specialty clinics with complex payer mix and high denial volume

Healthcare operators looking to reduce dependence on manual billing staff

The Transformation

Before & After

Before

✕ Billing staff manually re-keying claim data from EHR into clearinghouse portals, causing transcription errors

✕ No visibility into denial reasons until weeks after submission, making appeals reactive and slow

✕ Payer-specific rules maintained in spreadsheets, updated inconsistently across staff

✕ Practice administrators had no unified view of AR aging across multiple providers or locations

✕ Month-end reconciliation required days of manual matching between payments and posted EOBs

After

✓ Claims auto-generated from EHR encounter data and scrubbed against payer rules before submission

✓ Real-time denial dashboard flags rejected claims within hours with actionable appeal guidance

✓ Payer rule engine centralizes and version-controls billing logic, eliminating spreadsheet drift

✓ Unified AR aging dashboard gives administrators a live view across all providers and locations

✓ ERA/EOB auto-posting reconciles payments against claims with exception-only review workflow

What We Built

Deliverables & Scope

Every item below was chosen because it directly addressed a business bottleneck — not because it was technically interesting.

Claim scrubbing engine that validates CPT/ICD-10 coding, modifier usage, and payer-specific edits before submission

Direct EDI 837P/835 integration with major clearinghouses for real-time claim status and remittance processing

Denial analytics module with root-cause categorization, trend charts, and one-click appeal letter generation

Multi-practice AR aging dashboard with drill-down by provider, payer, date of service, and denial category

Automated ERA/EOB posting engine with confidence scoring and exception queue for human review

Role-based access control supporting billing staff, practice managers, and read-only provider logins

ROI Logic

Why This Generated
Real Business Value

Medical practices lose an estimated 5-10% of revenue to uncollected or under-collected claims, most of it traceable to preventable submission errors and slow denial follow-up. By catching errors before claims leave the practice and closing the feedback loop on denials within hours instead of weeks, Corevonics compresses the revenue cycle and shifts staff time from rework to higher-value tasks. For a practice billing $2M annually, even a 4-point improvement in net collection rate represents $80K recovered per year.

Key Outcomes

67%

Reduction in claim denial rate

11 days

Faster average reimbursement cycle

3.2x

Increase in clean claims on first submission

Why It Worked

The Decisions That
Made the Difference

Good execution matters. But the right early decisions matter more.

Domain-first design: we spent two weeks embedded with billing staff before writing a line of code, mapping actual claim workflows rather than guessing at requirements

Clearinghouse-agnostic EDI layer: abstracting payer connectivity behind a common interface meant onboarding a new payer or clearinghouse took days, not months

Exception-based UX: the platform surfaces only what needs human attention, reducing cognitive load for billing staff and making high claim volumes manageable with lean teams

Iterative payer rule library: we shipped an MVP rule engine with the top 10 payers and built a structured process for Corevonics to extend it continuously without requiring engineering each time

Tech Stack

Sidekiq AWS (ECS + RDS)

Integrations

Availity clearinghouse (EDI 837/835) Office Ally claim submission portal DrChrono EHR (patient encounter data) Stripe (practice subscription billing) Twilio (denial alert SMS notifications)

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