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How it works

Denial management, from remit to payment.

Agents do the sorting and drafting. Specialists make every decision. You get paid claims and a weekly report, not another tool to run.

See one denial worked end to end

01How it works

Agents work. Specialists decide.

You get paid claims, not another tool to run.

  1. Step 01

    De-identified audit

    We size your denials by payer, reason and age. No patient data.

  2. Step 02

    Agreements first

    BAA, plus a 42 CFR Part 2 agreement for SUD, before any PHI.

  3. Step 03

    Agents triage and draft

    Sorted by cause and deadline, evidence pulled, appeals drafted.

  4. Step 04 · Human approval

    Specialist approves

    Every appeal is checked against the chart before it goes out.

  5. Step 05

    Resubmit and track

    Sent through official channels and tracked to payment.

Steps 01 to 03

One queue, sorted.

Every denial ranked by cause, payer and deadline.

Denial work queue
Illustrative example, sample data. Denials ranked by deadline.
Appeal draft, claim C-4417
Illustrative example, sample data. Chart-cited draft, specialist approval.

Step 04

A specialist signs off.

Each statement cites the chart. Nothing is sent without approval.

02Why Sky Gathering

Built for facility claims.

Works alongside systems like

  • Kipu
  • Lightning Step
  • Sunwave
  • Alleva
  • CollaborateMD
  • Waystar
  • and the clearinghouse you already use

Names are trademarks of their owners. No endorsement implied.

  • Facility depth

    Per diem, level of care, length of stay and carve-outs.

  • Your systems

    We work across your EMR, billing system and clearinghouse.

  • Expert review

    Every clinical statement cites the chart. Codes are never changed.

  • Official connections

    Clearinghouse and payer APIs. No portal bots.

03Commitments

Things we control, in writing.

We cannot promise what a payer decides. We can promise how the work is done.

How we handle patient data

Our commitments

  • Report in 10 business daysYour denial review report within 10 business days of receiving a de-identified export.
  • Specialist approvalEvery appeal is approved by a specialist before it is sent.
  • Logged and reportedEvery action is logged. You get a report every week.
  • BAA before PHINo patient data until a BAA is signed, plus a Part 2 agreement for SUD records.

Commitments about how we work, not promises about payer decisions.

Next step

Book a denial review.

Twenty minutes. No patient data needed.

Or email hello@skygathering.com