Revenue belongs to the physicians who earned it.
PrismIQ is a single AI layer across the full revenue cycle — every downstream outcome feeds back into upstream rules automatically, so the same mistake never costs a practice twice.
I work inside a hospital system where I see the full picture of how care gets reimbursed, and how often it doesn't. The complexity payers have built into the denial process is real, and most practices simply don't have the tools to match it. PrismIQ changes that equation. The intelligence it brings to appeal generation and pre-submission risk is exactly the kind of systematic thinking this problem has always needed.
Darina Stanyekeva, MD
Our Story
Built for the side that's been losing.
Until now.
The Background
PrismIQ was built by a team that has spent decades watching the same problem repeat across industries: the people doing the real work are the last ones the technology was built for. In healthcare, that gap has a price tag. It's measured in denied claims, expired appeal windows, and revenue that practices earned and never collected.
The Discipline
The team brings together enterprise software architecture, hypergrowth product scaling, and deep customer workflow design — across healthcare, fintech, and enterprise technology. The discipline is simple: find the real problem underneath the stated one, then build the system around how work actually happens. Not how it theoretically should.
The Mission
That discipline is now focused entirely on a single problem: the operational crisis in specialty healthcare. Payers have spent decades automating the denial. Practices have been left with a biller, a queue, and a 30-day window. PrismIQ is the correction — an intelligent machine that masters payer complexity, automates the path to payment, and returns revenue to the physicians who earned it.
estimated annual revenue lost to denials and underpayments in specialty healthcare
Source: [TO BE ADDED]
of denied specialty claims are never appealed — not because they aren't winnable, but because there isn't time
Source: [TO BE ADDED]
average denial rate for high-value surgical and specialty procedures
Source: [TO BE ADDED]
These aren't industry abstractions. They're what PrismIQ was built to fix.
Why It Matters
Payers have spent billions building systems to slow reimbursement down. PrismIQ gives that advantage back.
See what PrismIQ finds in your last 90 days of denials.
Send a de-identified remittance sample. We'll come back with the recurring root causes, what they cost you, and which ones are preventable upstream. About a week. No call required.