The Problem You Already Know
A $10B health system loses $60M to $100M every year to underpayments, downcoding, and silent policy violations. The evidence is sitting in your claims files. The capacity to act on it is not.
Intelizen makes it easy for hospitals to bridge managed care efforts with revenue cycle to ensure contract backed revenue recovery.
Payer aggression is at all-time highs. Hospital margins are at all-time lows. We bridge the gap.
WHAT WE BUILT
Contract Yield Engine. Ingests claims data, reconciles every line against signed contracts and live payer policy, surfaces underpayments, downcodes, and policy violations in real time.
Filing-ready appeals. Generated automatically with contract and policy citations, embedded into the existing revenue cycle workflow.
PolicyWatch. Monitors payer policy changes as they publish and projects claim-level financial impact before the next denial cycle.
Target outcome. $10M to $40M in annual recovery for a $5B NPR system.
WHY NOW
Payer aggression is at all-time highs.
Hospital margins are at all-time lows.
AI is finally capable of processing complex claims, rules, unstructured contracts and payer policy at the scale required to enforce contracts claim by claim.
This category is being defined now.
WHERE WE ARE
Backed by Techstars, Antler, Peterson Ventures, and other strategic investors
Serving $5B to $35B health systems, provider groups, and IDNs
SOC2 and HIPAA compliant
TEAM
Founder: Mohnish Mohanty (former product leader at Carta, Extend, DocuSign, Deloitte, Accenture).
Experienced healthcare and AI team from EPIC systems, Wilshire Group, RIM, Carta, and more.
HOW TO ENGAGE
Health system leaders: we run a 14-day diagnostic on 90 days of your claims data and show you exactly what is recoverable, by payer and by service line. No integration required.
Investors and partners: happy to set up a conversation. Reach out directly.
Mohnish Mohanty [email protected]
