$85.2B market. 12% of claims denied. We fix that.

Your claims don't sleep.
Neither do we.

ClaimGuard is a 24/7 denial management and RCM consulting firm built for healthcare providers who are done losing revenue to unworked claims, slow appeals, and after-hours backlogs.

12%
National claim denial rate
60%
Denied claims never resubmitted
$25
Cost to rework each denial
24/7
ClaimGuard operations

Payers are using AI to deny claims faster than you can appeal them

9-to-5 billing in a 24-hour world

Your billing team goes home at 5pm. Payer deadlines, timely filing limits, and authorization windows don't wait. Every hour a denial sits unworked costs you money.

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Denial rates keep climbing

62% of RCM leaders say denials are their top revenue obstacle in 2026. Insurance companies invest millions in denial algorithms. Most practices have no counter-strategy.

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You can't hire fast enough

Healthcare billing staffing is in crisis. Experienced coders and denial specialists command premium salaries, and turnover creates constant knowledge gaps.

Denial management that never stops working for you

01

Denial Prevention

We analyze your denial patterns to identify root causes. Eligibility gaps, coding errors, authorization failures. Fix them before claims go out the door.

02

Appeal Management

Every denied claim gets worked. We build appeals with clinical documentation, payer-specific language, and regulatory backing that wins reversals.

03

RCM Consulting

Not just billing. Strategic consulting on your entire revenue cycle. We teach your team to prevent denials, not just react to them.

04

Collections Recovery

Aged accounts receivable don't have to be write-offs. Our collections specialists recover revenue you thought was lost, with compliant and professional follow-up.

Round-the-clock operations. Zero downtime.

Most RCM companies operate on banker's hours. ClaimGuard runs 24/7 because healthcare doesn't stop, and neither should your revenue cycle. Claims get worked overnight. Appeals go out at dawn. Your cash flow never sleeps.

6:00 AM
Overnight denials reviewed and triaged
10:00 AM
Appeals submitted to payers
3:00 PM
AR follow-up and collections calls
9:00 PM
Next-day claim prep and eligibility checks
1:00 AM
Denial pattern analysis and reporting

Stop leaving money on the table

Every denied claim that goes unworked is revenue your practice earned but never collected. ClaimGuard exists to change that, one claim at a time, around the clock.

Submit Your First Claim →