VerdictRev — clinical denial recovery for healthcare facilities

Your facility earned every dollar. We help you recover it.

VerdictRev helps healthcare facilities recover denied reimbursements through rigorous clinical evidence review and regulatory expertise. Insurance denials should not determine the financial health of your practice — VerdictRev handles the appeals process from start to finish, professionally, thoroughly, and with the clinical depth that gets results.

The Vindicate engine

Vindicate is the clinical-appeals intelligence engine that powers VerdictRev. It maps your clinical documentation against the payer's own medical policy and against the applicable ERISA § 503 procedural standards, identifies the grounds for appeal, and produces a ready-to-sign appeal packet built on the record you submitted.

The problem we solve

Legacy revenue-cycle workflows lose 15–20% of surgical revenue to algorithmic denials that most facilities never challenge. Payers use automated systems to deny claims; most facilities accept the denial as final. VerdictRev focuses on the denials that matter most — "not medically necessary" determinations on complex procedures, issued by payer algorithms without genuine clinical review.

How it works

1. Upload a redacted denial

   Drop your redacted denial into our secure intake. No patient PHI and no payer portal credentials are required.

2. Analysis identifies the grounds

   VerdictRev maps the clinical documentation against the payer's medical policy and the applicable ERISA § 503 procedural standards.

3. Receive an ERISA-ready appeal letter

   You get a ready-to-sign appeal packet that forces human review, grounded in the submitted record.

Who it is for

Hospitals, surgical centers and specialty practices carrying denied clinical claims — including orthopedic & spine, cardiac & vascular, oncology, specialty pharmacy and behavioral health.

Security and compliance

• HIPAA-aligned safeguards, with Business Associate Agreements in place with all subprocessors (Google Cloud, Cloudflare and AWS)
• ERISA-ready appeal output
• Documents are processed in real time and are not stored as raw uploads; the clinical facts extracted from the submitted documents and the generated report are retained in access-controlled, encrypted storage to guarantee reproducible verdicts
• Processing and audit records are retained for six (6) years consistent with federal healthcare record-retention requirements
• Submitted data is never used to train AI models and is never sold or shared with third parties
• No payer portal credentials required
• AES-256 encryption

Contact

VerdictRev — verdictrev.com · ops@verdictrev.com

© 2026 VerdictRev. All rights reserved. VerdictRev provides analytical information only. Nothing on this platform constitutes legal advice, medical advice, billing advice, or a guarantee of appeal outcome. All final decisions and claim submissions remain the sole responsibility of licensed professionals at your facility.