Denial Management, Automated
AI-Powered
Denial Resolution
Roony automates the full denial resolution cycle, from payer outreach and status checks to appeals, resubmissions, and persistent follow-up on aged A/R. By dramatically lowering the cost of resolution, Roony makes it economical to pursue claims that would never justify the staff time, unlocking revenue that couldn't be recovered even with unlimited headcount.
HIPAA CompliantCompatibility
Works with any EHR
Roony integrates with your existing billing workflow. No system changes required.
How It Works
Automated, intelligent denial resolution
Analyze and route claims
Roony ingests your denied and aged claims, classifies each denial, and intelligently routes them through the optimal resolution channel: whether that's a phone call, an appeal, a resubmission, or a status check.
Resolve across channels
AI agents contact payers, navigate IVR systems, file appeals, resubmit claims, and persistently follow up, fully automated, 24/7, across every channel needed to get your claims paid.
Recover and learn
Track every resolution in real time. Roony captures payer-specific insights and winning strategies from every interaction, so each claim benefits from everything that came before.
Features
AI that works as hard as your billing team
Multi-channel payer resolution
Resolves claims through the right channel: phone calls to payer reps, automated appeals, corrected claim resubmissions, and persistent status follow-up. All handled by AI agents, around the clock.
Intelligent orchestration
Analyzes every denial, determines the optimal resolution path based on denial category, payer behavior, and historical outcomes, then routes each claim to the right action automatically.
Continuous learning
Captures payer-specific patterns, denial trends, and winning resolution strategies from every interaction, so each new claim benefits from everything that came before.
FAQ
Common Questions
Quick answers about how Roony works and keeps your data safe.
What is Roony?
Roony is an AI-powered claims resolution platform that automates denial management for healthcare providers. The platform handles the full denial resolution cycle: payer outreach, status verification,...
How does Roony resolve denied claims?
When you upload a denied claim, Roony analyzes the denial reason code, generates a resolution strategy using its knowledge base of payer-specific rules, and initiates automated payer outreach. The AI...
What types of claims can Roony handle?
Roony handles all commercial and government payer claims, including denials for eligibility, authorization, medical necessity, coding and bundling, timely filing, duplicates, coordination of benefits,...
Does Roony replace my billing staff?
No. Roony is designed to augment your billing team, not replace it. It automates the most repetitive and time-consuming parts of denial follow-up so your staff can focus on higher-value tasks like com...
How is Roony different from other denial management tools?
Most denial management tools help you track and categorize denials. Roony actually resolves them. Instead of generating worklists for your staff to work through, Roony's AI works the denials itself. T...
Who is Roony built for?
Roony is built for medical practices, hospital billing departments, and revenue cycle management (RCM) companies that handle insurance claim follow-up. Whether you have a small billing team drowning i...
Revenue you'd write off.
Recovered.
Start recovering revenue from denied and aged claims that would otherwise be left on the table, including claims that were never economical to pursue manually.
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