Beyond-AI - Beyond-Claims

Beyond Health Systems provides automated claims auditing and revenue recovery services for hospitals and health systems. The company's Beyond-Claims platform continuously audits both paid and denied claims to identify underpayments and misadjudications at the service-line level, recovering revenue that would otherwise remain undetected.

The platform uses deterministic processing to analyze transaction correctness beyond traditional RCM metrics, focusing on whether claims were paid in full according to contract terms. The system identifies recoverable dollars at the line-item level, builds corrections for resubmission, and tracks outcomes. The company positions its analytics dashboard as providing visibility into adjudication logic issues that escape standard denial management workflows.

Beyond Health Systems operates on a performance-based pricing model with no setup fees or minimums, charging only when revenue is successfully collected. The platform is designed for enterprise healthcare environments requiring audit-level accuracy and accountability in revenue cycle operations.

Choose Beyond Health Systems when seeking a low-risk approach to recovering revenue from claims already processed as paid or denied. The contingency model eliminates upfront investment, making it accessible for organizations wanting to test claims auditing without capital commitment.

Expect a platform-driven engagement focused on continuous monitoring and automated recovery workflows. The company positions itself for organizations where manual review of underpayments is economically unviable due to the volume of small-dollar variances across service lines.

Beyond Health Systems is exclusively focused on hospital and health system revenue cycle operations. The platform addresses healthcare-specific challenges including contract adjudication complexity, bundled payment edits, and payer-specific reimbursement logic. The company positions recovered revenue as a mechanism for funding clinical training, staffing, and facility improvements without cutting services or increasing patient costs.

The solution targets the structural gap in healthcare revenue cycle systems that prioritize claim closure over payment verification, addressing systematic financial leakage specific to hospital billing operations.

Hospital revenue cycle leadership and CFOs at health systems with high claim volumes where underpayments accumulate but individual variances are too small for manual review. Organizations seeking supplemental revenue recovery without adding RCM staff or tools, and willing to work with a performance-based pricing model that shares in recovered collections.