Move the hard claims forward.
Accountable billing operations for U.S. hospitals and health systems—from clean claim submission through denial resolution, appeals, payment follow-up, and human-reviewed AI assistance.
Illustrative claim operating view
Claim submission
Clean detail / ready to move
Denial resolution
Root cause / evidence in focus
Appeal support
Record aligned / next action clear
Payment follow-up
Owner visible / loop closing
Where the work gets stuck
A billing partner for the claims that consume the most attention.
Tallyrune brings structure and accountable follow-through to the full hospital claim lifecycle, from the first submission detail to the final payer conversation.
01 / Submit cleanly
Coordinate claim details, payer requirements, and supporting documentation so preventable gaps are found before a claim leaves the hospital.
02 / Resolve the blocker
Trace the reason, evidence, and next best action on denial-heavy inpatient and outpatient cases that create rework.
03 / Make the case
Bring the clinical and administrative record into focus, support appeal drafting, and carry the work forward with clear ownership.
04 / Follow through
Keep payer conversations, open balances, and next actions visible so unresolved claims do not disappear into handoffs.
05 / Assist with care
Use practical automation for claim scrubbing, rule validation, prior-authorization checks, and appeal drafting—with human review at consequential decisions.
A clearer operating model
Every handoff has a reason, an owner, and a next move.
Tallyrune pairs experienced billing specialists with AI-assisted claim scrubbing, rule validation, prior-authorization checks, and appeal drafting support—keeping human review at the center of consequential decisions.
Start a conversationSee the whole claim
Start with the claim, its status, its payer, and the specific obstacle between service and reimbursement.
Act on the real blocker
Apply experienced review and AI-assisted checks to surface missing detail, authorization friction, documentation gaps, or denial logic.
Close the loop
Carry the case through appeal and payer follow-up, with a clearer record of the next action and the payment outcome.
Accountability, by design
Operational discipline for a revenue cycle under pressure.
Cleaner claims are not just about faster processing. They are about reducing the ambiguity between a hospital, a payer, and the people responsible for getting an answer.
The Tallyrune standard
- Hospital-context expertise, not generic back-office volume
- Human judgment supported by practical automation
- One accountable thread across every payer handoff
Bring the hard claims
Let’s make the path from care delivered to payment easier to see.
Tell us where your hospital-payer workflow is carrying the most friction. We’ll start with the operating reality, not a generic playbook.
Email Tallyrune Healthtallyrune-health@polsia.app