The Revenue Execution Gap
Payers are using AI to deny claims faster than your team can appeal them. Denial rates are up for the 4th straight year, driving up aging AR. Even at 20 minutes per appeal, a human can’t keep pace — and while your staff works one claim, thousands in underpayments slip through the cracks. AI processes 100 claims in the time it takes your team to work one.
Three revenue leaks. One AI that closes them all.
ANKA identifies underpayments, writes the appeal, files the dispute, follows up with your payer, and posts the payment.
No staffing. No offshoring. No backlog. You collect the cash.
Three Leaks. One Execution Gap.
Most healthcare organizations today face three simultaneous revenue leaks: claim denials, underpayments, and aging AR. The root problem isn’t effort—it’s execution. Payers are increasingly deploying AI to deny faster, while providers are still fighting back with manual processes and fragmented systems. Hiring more staff won’t close the gap. Offshoring won’t close it either. The only scalable way to keep up is AI-driven execution.
Payers brought AI to the fight. ANKA fights back.
What We Do
ANKA handles the entire post-submission revenue cycle — from unified AR visibility through autonomous resolution, self-learning orchestration, and executive intelligence.
A unified AR view across EHRs, billing systems, clearinghouses, and payer portals, enriched with payer rules, historical outcomes, filing limits, and payment timelines.
Machine learning ranks every claim by recovery probability, dollar value, aging, and payer behavior. High-impact claims rise to the top automatically.
The decision engine determines the next best action for each claim — using payer rules, provider-level nuances, and denial context.
Autonomous AR actions—appeals, resubmissions, document uploads, and follow-ups—with complex claims routed to humans prepackaged with data.
ANKA learns from every claim outcome. Prioritization, routing, and decision logic improve continuously — without manual rule updates.
Identifies underpayments, recurring denial patterns, and payer behavior anomalies. Prescriptive insights for CFOs, not just dashboards.
The Execution Test
The answer separates every vendor in the market into three levels. Only one level actually closes the three leaks.
Dashboards, charts, aging reports. You see all three leaks. None are plugged. Most RCM analytics vendors, EHR tools, clearinghouses.
Suggests which claims to appeal first. Your team still does all the actual work. Most AI platforms.
Writes & files the appeal. Identifies & disputes the underpayment. Calls the payer IVR. Posts the payment. All three leaks closed.
Who It’s For
Pricing
Traditional vendors sell FTEs or subscriptions. You pay whether results improve or not. ANKA sells outcomes with performance-based SLAs in writing.
Zero upfront cost. Zero monthly fee. We recover underpaid claims. You pay a percentage of what we find. If we find nothing, you owe nothing.
Typical first finding: $100K+ in recoverable underpayments.
Outcome-based pricing for end-to-end back-end RCM. SLAs on clean claim rate, denial rate, AR days, and net collections. Miss the target? Your fees go down automatically.
Near-zero marginal cost. 1,000 claims costs us the same as 100.
Service Areas
ANKA partners with physician groups, hospitals, and PE-backed healthcare organizations across the U.S., with strong presence in Florida, Texas, Georgia, and Oklahoma.
Miami, Tampa, Orlando, Jacksonville, Fort Lauderdale, St. Petersburg, Tallahassee
Houston, Dallas, San Antonio, Austin, Fort Worth, El Paso, Arlington
Atlanta, Augusta, Savannah, Columbus, Macon, Athens, Sandy Springs
Oklahoma City, Tulsa, Norman, Broken Arrow, Edmond, Lawton, Moore
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