Revedy August 2025 Product Update: Appeals Automation & More

This month's product updates improve end-to-end automation for the entire appeals process while providing enterprise-scale processing capabilities that transform how healthcare organizations manage denials and optimize revenue.

Appeals Automation

Eliminate manual appeal writing with our comprehensive appeals management system. Upload denied claims and receive professionally crafted appeal letters and responses with supporting clinical evidence, payer policy references, and regulatory justification. The platform automatically processes CMS 1500 forms, performs targeted medical necessity analysis, and generates complete appeal packages ready for submission.

Enterprise Bulk Processing

Scale your denial management operations with OAuth2-secured bulk processing that handles hundreds of cases simultaneously. The platform orchestrates complete workflows from case creation through final appeal generation, with automated backlog processing and real-time status tracking. Perfect for health systems and BPOs managing high-volume denial workflows.

Advanced Clinical Intelligence

Prevent denials before they occur with our real-time claim scrubbing engine. The enhanced clinical guidance layer validates coding against official CDC/NCHS guidelines, detecting conflicts based on ICD-10 Excludes1/Excludes2 notes and National Correct Coding Initiative (NCCI) edits. This validation, combined with AI-powered analysis for optimal code selection, improves the clean claim rate. Best-case scenario analysis identifies revenue optimization opportunities through enhanced diagnosis coding.

Seamless Integration Framework

Connect existing practice management systems with comprehensive API documentation and flexible integration options. The platform now supports direct CMS 1500 processing, pre-flight content validation, and complete audit trails, enabling automated workflows that integrate seamlessly with current operations.

Intelligent Coverage Analytics

Leverage multi-year Medicare coverage intelligence with advanced analytics that track code changes across fiscal years, identify coverage gaps, and provide actionable insights. The enhanced data foundation includes 499,356+ medical code relationships with geographic coverage mapping and medical necessity validation.