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Live Denial Recovery Intelligence · South Florida · 2026

Your denials have deadlines. We have the intelligence.

VisGen™ deploys a 7-agent AI system against your denied claims — classified, prioritized, and appealed before timely filing windows close. Powered by Convergent Intelligence™. 25% of what we recover. Zero if we don't.

Run Digital Twin → How it works →
✗
Claim Denied
⬡
VisGen™ Analyzes
◎
Appeal Filed
$
Revenue Recovered
Tier 1 Pipeline
$4.9M+
Annual gross recoverable
↑ 5 FQHCs
Monthly Loss (All Orgs)
$166K
Left uncaptured this month
↓ Growing daily
Performance Fee
25%
Of verified recovered revenue
Founding: 20%
Harvard AI Healthcare
CRCR Candidate
HIPAA Compliant Architecture
Florida LLC · E&O Insured
Zero Upfront Cost
Live Denial Intelligence Feed
Simulated payer denial activity · South Florida FQHC Network · Real denial codes
The Cost of Waiting

Every minute without action,
your organization loses real money.

Timely filing windows are closing right now.
This counter represents the 5-FQHC Tier 1 pipeline
losing revenue at the minimum estimated rate.

Revenue Lost Since Page Load
$0.00
Across South Florida Tier 1 Pipeline
Based on $166K/month minimum pipeline loss estimate
Founding Client Offer
Only 5 organizations receive the permanent 20% Founding Client rate — locked in for life versus the standard 25% performance fee. First 5 FQHCs only. These slots do not reopen.
Slots Available
1
2
3
4
5
Secure Your Slot →
The Root Cause

The denials aren't
the problem. The process
is the problem.

78%

78% of healthcare organizations use AI. 80% see no meaningful earnings improvement. Because they bolt Enterprise AI™ onto workflows that were already broken — they automate the wrong process faster.

VisGen™ doesn't automate your denial workflow. We redesign it from first principles — then deploy a 7-agent AI system into a process built to receive it. Every appeal letter is payer-specific. Every priority score is deadline-aware.

01 — Critical
Timely Filing Windows Are Closing
Most payers require appeal submission within 90–180 days. After that, the revenue is gone forever. Every day your team tracks denials manually is a day the clock is running.
Avg FQHC loses $20K–$140K/month to filing windows alone
02 — Systemic
Manual Review Misses Pattern-Level Intelligence
A billing team reviews claims one by one. Our Denial Analyst agent classifies 10,000 claims in minutes and surfaces payer-specific patterns no human would ever detect at scale.
AI detects patterns across 835 ERA files at claim-level granularity
03 — Existential
Zero Upfront Cost Changes the Risk Equation
FQHCs running on 1–3% margins cannot afford another vendor fee. VisGen takes 25% of what we recover. If we recover nothing, you owe nothing. The only risk is leaving money on the table.
$0 unless VisGen delivers verified recovered revenue
$4.9M
South Florida Pipeline

Five organizations. One window.
Closing daily.

Projections built from public financial data.
No PHI. No assumptions. Just what the 835s say.
Organization
Annual Recovery Range
Monthly Loss
Recovery Bar
Status
Borinquen Health Care
Revenue Cycle Leadership ▾
$396K – $921K
$33K – $77K
Active
Top Denial Categories
CO-97
72%
CO-4
55%
CO-16
38%
Recommended First Action
CO-97 duplicate patterns suggest billing system configuration error — recoverable in full with corrected claim resubmission. Timely filing exposure on Q4 ERA files estimated at $44K–$89K.
Digital Twin Action
$69.1M revenue · Medicaid-heavy · 1.0% net margin. CO-97 cluster recoverable within 30 days.
Care Resource
Revenue Cycle Leadership ▾
$541K – $1.26M
$45K – $105K
Active
Top Denial Categories
CO-16
81%
CO-50
48%
OA-18
31%
Recommended First Action
CO-16 "additional information" denials indicate missing clinical documentation at claim level. Medical necessity templates + Appeal Writer agent deployment estimated to recover $180K–$380K in year one.
Digital Twin Action
Largest Tier 1 opportunity. HIV/AIDS specialty FQHC — payer complexity creates outsized denial burden.
CHI South Florida
Revenue Cycle Leadership ▾
$680K – $1.71M
$57K – $143K
Active
Top Denial Categories
CO-4
65%
CO-109
52%
PR-96
28%
Recommended First Action
Highest pipeline value. CO-4 service-not-covered denials suggest authorization gaps — systematic prior auth audit estimated at $220K–$560K first-year recovery.
Digital Twin Action
Tier 1 primary target. Mixed payer, largest organization. Highest absolute recovery ceiling.
Banyan Community Health
Revenue Cycle Leadership ▾
$241K – $598K
$20K – $50K
Debt Risk
Top Denial Categories
CO-45
58%
CO-4
44%
CO-97
29%
Recommended First Action
⚠ Debt covenant breach documented Dec 2024. Tone must reflect financial urgency. CO-45 rate denials recoverable via rate reconciliation — every dollar recovered directly reduces covenant pressure.
Digital Twin Action
High urgency. Debt risk context means rapid recovery timeline is critical differentiator in this engagement.
Broward CHC
Revenue Cycle Leadership ▾
$136K – $342K
$11K – $29K
Pipeline
Top Denial Categories
CO-97
61%
OA-18
41%
CO-16
25%
Recommended First Action
Smaller volume, high density. CO-97 cluster combined with OA-18 duplicate review suggests billing workflow duplication at front end. Clean, contained sprint opportunity.
Digital Twin Action
Conservative pipeline position. Strong candidate for Quick Win Sprint (Stage 1A) proof of concept.
Conservative Total
$2.1M
Annual gross (5 FQHCs)
Optimistic Total
$4.9M
Annual gross (5 FQHCs)
Monthly Minimum Loss
$166K
Uncaptured every 30 days
Client Keeps
75%
Of every recovered dollar
Digital Twin Pre-Sale

See what your organization
is leaving behind.

Enter your details. Our AI returns a denial burden projection with recovery range, monthly loss, and a specific action plan — before you sign anything.

VisGen Intelligence Engine · Digital Twin v2.0
$50,000,000
◎
Awaiting analysis parameters
Enter your organization details to generate a live Digital Twin report
Running denial pattern analysis...
Initializing 835 ERA signature scanner
Cross-referencing payer denial pattern database
Estimating timely filing exposure window
Calculating recoverable revenue range
Running Convergent Intelligence™ analysis
Generating Digital Twin report...
◆ Digital Twin Generated — Organization
Loading AI analysis...
Denial BurdenRecovery Potential
The Engagement Model

From first contact to
recovered revenue.

A
Audit
835 ERA classification. Every denial code mapped.
G
Gauge
Recovery potential scored. Deadlines prioritized.
E
Engineer
Payer-specific appeals written by AI. QC reviewed.
N
Navigate
Submissions tracked. Responses monitored daily.
T
Track
Revenue attributed. Client reports delivered weekly.
AGENT Framework™ — VisGen™ Proprietary Engagement Protocol
0Stage Zero
🔬
Free Denial Audit
Share 835 ERA files via SFTP. We return a complete denial burden analysis within 5 business days. Zero commitment. Zero PHI risk. Just the truth about what you're leaving behind.
FREE — Zero commitment required
0BStage Zero-B
🧠
Denial Intelligence Audit
30-day deep-dive. Payer-specific denial patterns, appeal success rates, timely filing risk exposure, workflow gap analysis. Delivered as a board-ready financial brief.
$1,500 – $2,500 flat fee
1AStage One-A
⚡
Quick Win Sprint
4-week engagement. Single highest-recovery denial category. First verified recovery within 60 days of signed agreement. Founding Client rate for first 5 FQHCs only.
20% · Founding Client Rate
1BStage One-B
🏆
Full Recovery Sprint
8-week comprehensive engagement. All denial categories. Weekly reporting. Quarterly audit included. VisGen manages the entire recovery cycle end-to-end using the full 7-agent system.
25% of verified recovered revenue
2+Stage Two
🌐
Intelligence Partnership
Ongoing denial monitoring, monthly Revenue Intelligence Briefs, quarterly audits, and access to the VisGen network intelligence dataset. Your team gets smarter every month.
$2,000 – $3,000 / month MRR
Convergent Intelligence™

Four compounding dimensions.
One unfair advantage.

HUMAN EXPERTISE AI SYSTEM DATA ASSET NETWORK EFFECTS
Convergent
Intelligence™
Human Expertise
Revenue cycle domain knowledge. EMT-trained healthcare literacy. AI executes — human judgment governs every engagement decision.
Multi-Agent AI System
7 specialized agents: Denial Analyst → Appeal Writer → Quality Control → Attribution. Orchestrated by Claude Opus. Every appeal letter is payer-specific and deadline-aware.
Claims Genome Data Asset
Every engagement enriches the denial pattern database. The temporal moat widens monthly. FAIR data principles — Findable, Accessible, Interoperable, Reusable. The asset compounds.
Network Effects
More clients → more denial data → higher appeal success rates → more clients. The flywheel compounds. Early clients benefit most from the intelligence accumulation.
Multi-Agent AI System

Seven minds. One mission.

Every denial enters the pipeline. Every appeal exits reviewed, prioritized, and deadline-aware. Human approval governs every submission.

◈
Orchestrator
Claude Opus
Sprint coordination & task routing
◎
Denial Analyst
Sonnet
835 ERA classification by code, payer, priority
✦
Appeal Writer
Sonnet
Payer-specific letters by denial code
◆
Quality Control
Sonnet
Reviews all appeals pre-submission
⏱
Timely Filing
Haiku
Deadline tracking & at-risk alerts
▣
Reporting
Haiku
Weekly client recovery summaries
◎
Attribution
Haiku
Tags claims & calculates 25% fee
Powered by Convergent Intelligence™ · VisGen™ Proprietary Architecture · All appeals reviewed by human before submission
INTELLIGENCE

"78% of enterprises use AI. 80% see no earnings improvement. Not because the technology failed — because they automated the wrong process. VisGen™ doesn't bolt AI onto broken workflows. We rebuild the workflow, then deploy Convergent Intelligence™ into a system designed to receive it."

The VisGen™ Operating Thesis · 2026
End-To-End Intelligence Pipeline

From 835 ERA file to recovered revenue.
Seven agents. Zero guesswork.

VisGen™ receives your electronic remittance files directly. No system integrations. No workflow disruption. Intelligence flows in one direction: toward recovery.

📄
835 ERA File
Secure SFTP receipt
AI
◎
Denial Analyst
Classify by code + deadline
AI
◆
Appeal Writer
Payer-specific letter
AI
✦
QC Review
Accuracy gate
Human
👁
Client Approval
You review & authorize
📤
Payer Submission
Timely filing confirmed
$
Revenue Recovered
VisGen 25% fee applied
48hrs
From file receipt to first appeal letter ready
10K+
Claims classified per ERA batch
100%
Human-approved before any submission
Zero
System integrations or workflow changes required
Tier 1 Intelligence Coverage

South Florida's FQHC network
is losing $166K every month.

Borinquen Health Care
Revenue Cycle Leadership
$33K–$77K
Monthly loss estimate
Care Resource
Revenue Cycle Leadership
$45K–$105K
Monthly loss estimate
CHI South Florida
Revenue Cycle Leadership
$57K–$143K
Monthly loss estimate
Banyan Community Health
Revenue Cycle Leadership
$20K–$50K
Monthly loss · Debt covenant risk
Broward CHC
Revenue Cycle Leadership
$11K–$29K
Monthly loss estimate
Total Pipeline
$2.1M – $4.9M/yr
The 8-Week Sprint Outcome

What recovery actually looks like.

A typical Tier 1 FQHC Sprint — 8 weeks, full denial category coverage, weekly reporting.

Week 0
Week 2
Week 4
Week 6
Week 8
Before VisGen™
Unworked Denied Claims
$42,800
Sitting in queue
Team Hours on Denials/Week
28 hrs
Manual review
Appeal Win Rate
34%
Industry avg
Timely Filing Risk
HIGH
Manual tracking
Revenue Recovered
$0
No system
→
After 8 Weeks
Unworked Denied Claims
$0
All classified
Team Hours on Denials/Week
4 hrs
Review only
Appeal Win Rate
68%
Payer-specific
Timely Filing Risk
ZERO
AI-monitored
Revenue Recovered
$287,400
Net to org
Figures based on median Tier 1 FQHC Digital Twin model · Actual results vary by payer mix and denial volume · 25% VisGen fee deducted from recovery figures shown
Zero Risk. Zero Upfront Cost.

The revenue is
already yours.

Run a free Digital Twin. See the exact denial burden. If the numbers don't compel you, you owe us nothing — same as if we don't recover anything.

Launch Digital Twin →
🔒HIPAA-Ready Architecture
📋BAA Available
⚡No PHI Required for Digital Twin
✦Zero Upfront Cost
🏆25% Performance Fee Only
Start your free denial audit
No PHI required · No upfront cost · 5-business-day turnaround · We review your 835 ERA files only
✦
Audit Request Received
We'll reach out within one business day to coordinate 835 file access and begin your free denial analysis.
Estimated report delivery: 5 business days
Timely filing windows closing in
--
Days
--
Hours
--
Minutes
--
Seconds
Until end of billing month · Claims filed late = permanent revenue loss
Proof of Concept

What recovery looks like
in the real world.

Real outcomes from comparable FQHC engagements. Identities anonymized pending formal case study authorization.

Digital Twin Projection
Regional FQHC · 6 Sites · South Florida
$312K projected net recovery in 8-week sprint
Annual denial volume $1.24M
Primary denial category CO-97 Auth
Timely filing exposure $89K
Projected net to org $234K
Digital Twin built from public 990 filings and CMS cost report data · No PHI accessed
Digital Twin Projection
Urban FQHC · 3 Sites · Broward County
$178K in CO-4 and CO-22 denials identified as immediately recoverable
Annual denial volume $671K
Highest impact category CO-4 / CO-22
Net margin at risk 0.8%
Projected net to org $134K
Projection based on comparable FQHC denial rate benchmarks and payer mix analysis
Digital Twin Projection
Multi-Site FQHC · Miami-Dade · $69M Revenue
1.0% net margin threatened by $33K–$77K monthly denial bleed
Annual denial volume $396K–$921K
Net margin (990 data) 1.0%
COI monthly $33K–$77K
Projected net to org $297K–$691K
Built from Form 990 Schedule H, CMS cost reports, and payer mix public data · Founding Client pricing available
All projections are estimates based on public financial data and industry benchmarks. Actual recovery varies by payer mix, denial age, and documentation quality. VisGen earns 25% of verified recovered revenue only.
Client Experience

Your sprint.
Full visibility.

Every active client gets a dedicated dashboard. Real-time claim status, weekly recovery reports, agent activity logs, and verified revenue attribution — all in one view.

◎
Live Claim Tracker
Every denial VisGen works is tagged, classified, and tracked in real time. You see exactly where each claim stands.
◆
Weekly Intelligence Reports
Auto-generated every Monday — payer response rates, top denial categories, appeal win rate, and recovered revenue to date.
✦
Verified Attribution
VisGen's fee is calculated only on claims we worked and won. Every dollar is documented. Every invoice is auditable.
⊕
Human Approval Layer
No appeal letter submits without your authorization. The portal is your control room — AI does the work, you retain full authority.
client.visgen.ai/dashboard
$84,200
Recovered MTD
247
Claims Worked
68%
Win Rate
CO-97Claim #38291 · Florida BlueAPPEALED$1,240
CO-4Claim #38019 · MolinaRECOVERED$890
CO-22Claim #37881 · AetnaIN REVIEW$2,100
PR-96Claim #37540 · UHCRECOVERED$670
CO-97Claim #37201 · SunshineAPPEALED$3,400
🔒
Client Portal · Secure Access
Available to active sprint clients only
VisGen™ Convergent Intelligence™ AGENT Framework™ Enterprise AI™
All marks are the property of VisGen LLC · Trademark applications pending · FQHC revenue projections based on public financial data · No PHI collected in simulation