ClaimZapper
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UKUK Exclusive
UKUK Exclusive

A bot rejecting your ECG analysis as 'Inclusive'?

Insurance bots reject a whopping £100,800 of your claims immediately. Per year.

ClaimZapper flips this upside down: we add +£49,176 on top of your revenue.
How? Surgical precision!

1. We validate and correct CCSD and ICD-10 codes:
preventing 95%+ of rejections.

2. We optimise all codes. No undercoding:
10–20% extra revenue in your bank.

3. We ensure your claims survive level-4 audits. No loose ends.

Result. Higher payouts in less than 30 days.

Insurer Logic Alignment.

No more manual rework or billing mismatches.

Revenue Alert
09:14 AM
Event:ECG Silent Bundling
Location:Billing Audit
Action:Code 20110 Unbundled
Resolution:Revenue Secured (+£90)
Status: You are protected
Fee Update
09:42 AM
Event:Echo Contrast Fee
Location:Fee Schedule
Action:Consumable Added
Resolution:Fee Updated (+£45)
Status: Value Secured
Complexity Check
10:05 AM
Event:Remote Monitoring
Location:Clinical Notes
Action:7-Day Holter Validated
Resolution:Billing Code W3940
Status: Validated
Anonymised Network Data (Cardiology sample)

1. The Integrity Engine

Our engine defends against the three main causes of revenue loss. It verifies claims pre-submission to stop rejections, automatically chases shortfall gaps, and prevent revenue leakage.

Inner Circle Offer

2. Validation Guard (Reserve Guard)

You simply use your reserve guard. One unit covers the full, high-precision audit of a single invoice. It is essentially claim insurance—cover is only deducted once our engine has confirmed your invoice is hardened and ready for payment.

3. Manual Resolution Layer

Our core logic automates 97% of claim volume. The remaining 3% (complex clinical disputes) are routed to specialists for manual resolution. Enterprise infrastructure combining automated speed with human safety.

Privacy by design

Strict enterprise-grade Clinical cross-referencing.

To ensure coding accuracy, our engine performs a local semantic analysis of your anonymised appointment notes to cross-reference clinical activity against billing codes (e.g., verifying that 'ECG Analysis' or 'Coronary Angiogram (K6510)' keywords match the submitted CCSD complexity).

This validation occurs exclusively within your local practice environment.

We do not store or cloud-host patient records. The only data that leaves your system is validated numerical strings, ensuring 100% GDPR compliance while preventing under-coding errors.

ICO RegisteredCompliance: UK DPA 2018
UK Data ResidencyLondon (europe-west2)
AES-256 SecurityAt Rest & In Transit

Billing parameters

Codes, policy rules, excess

Confidential care records

Clinical notes (encrypted/ignored)

Patient identity

Personal data (redacted)

The DNA & Shortfall Guard

Cloud PMS Plugin

Protection against no shows and coverage gaps.

Protocol preference

Secure at booking

Patient verifies card via Stripe secure portal. No charge is made yet.

The encrypted vault

Card captured securely on file. Tokenised for safety, verified for validity.

The Trigger

Attend: Insurance billed / Card held
Shortfall: Charge the card
No show: Auto-process DNA fee

"It turns a Shortfall or No Show into protected revenue.
You stop chasing patients, and your cashflow becomes predictable."

The Recovery Efficiency Paradox

Performance comparison

Specialty
All figures represent the annual performance before any recovery intervention. Gross value lost to first-pass insurer automated barriers.
Annual claims
240
Avg claim value
£1,500
Annual revenue (AR)
£360,000
Initial pass / rejection rate
72% / 28.0%
Net AR adjustment (In-house best)
-£20,496
With ClaimZapper (net AR)
+£49,176
↓ Recovery Yield Analysis ↓
Track 01

In-house admin

Benefit auditValue
Initial claim rejections-£100,800
Claims recovered (final) (85%)+£85,680
Cost: Admin (~£80/claim)-£5,376
Net recoveryavg 60-day claim cycle
£80,304
Missed codes recovered£0
Net AR adjustment-£20,496
Track 02

Billing agency

Benefit auditValue
Initial claim rejections-£100,800
Claims recovered (final) (92%)+£92,736
Cost: Commission (8%)-£28,800
Net recoveryavg 45-day claim cycle
£63,936
Missed codes recovered£0
Net AR adjustment-£36,864
Track 03

ClaimZapper

Benefit auditValue
Initial claim rejections-£100,800
Prevention of rejections (97%)+£97,776
Cost: Subscription (~3%)-£10,800
Net recoveryavg 30-day claim cycle
£86,976
CCSD / ICD-10 coding optimizer(+18%)+£63,000
Net AR adjustment+£49,176

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