About ReClaim™
ReClaim™ is Revecore’s AI-powered revenue recovery intelligence platform that combines advanced automation, proprietary machine learning (ML) models, and national payer intelligence to identify, prioritize, and recover your rightful revenue at scale.
Complex revenue challenges ReClaim™ is built to solve.
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Complex Claims
Day 1 identification through final payment for MVA/TPL, Workers' Comp, and VA.
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Denials Management
Automated intake, AI-assisted appeals, and cash reconciliation.
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Underpayment Recovery
Rule-based assignment logic and structured follow-up automation.
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Accounts Receivable
Proprietary algorithms that surface underpaid claims even at zero balance.
How the ReClaim™ platform works
ReClaim™ Data Platform
The foundation of ReClaim™ is a continuously updated data asset built from cross-client payer behavior — network claims and benchmark data, payer contract and pricing data, insurance coverage intelligence, and analytics derived from hundreds of millions of annual claims across 1,300+ hospitals. This is what makes ReClaim’s detection logic smarter than anything a single institution could build on its own.
ReClaim™ Engine
The foundation of ReClaim™ is a continuously updated data asset built from cross-client payer behavior — network claims and benchmark data, payer contract and pricing data, insurance coverage intelligence, and analytics derived from hundreds of millions of annual claims across 1,300+ hospitals. This is what makes ReClaim’s detection logic smarter than anything a single institution could build on its own.
ReClaim™ Intelligence
The foundation of ReClaim™ is a continuously updated data asset built from cross-client payer behavior — network claims and benchmark data, payer contract and pricing data, insurance coverage intelligence, and analytics derived from hundreds of millions of annual claims across 1,300+ hospitals. This is what makes ReClaim’s detection logic smarter than anything a single institution could build on its own.
Platform Capabilities
ReClaim™ applies over 87,000 jurisdiction-specific billing and compliance workflow rules covering state-specific, federal, and payer-specific logic for Auto/TPL, Workers' Compensation, and VA claims.
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Automated claim identification with routing to Auto, WC, or VA specialists.
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Proprietary Accident Payer Search (APS) engine to identify applicable coverage within seconds
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VA Community Care billing rules, TRICARE compliance, and WC-specific EDI and attachment handling
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How ReClaim™ integrates with your ecosystem
ReClaim™ Connect
ReClaimTM Connect automates connectivity to client EHRs and payer/government portals — enabling seamless data exchange without burdening client IT teams. Structured file transfers, EDI transactions, and portal integrations are managed within the platform, with Epic environments supported without custom development.
ReClaim™ Pulse
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See ReClaim™ In Action
Talk to a Revecore specialist about how ReClaim™ performs across your specific payer mix, claim types, and revenue cycle challenges.