Tell us the denial, not the feature name.

Yes, and that timing is the whole point. Most documentation denials are decided the day the order packet is assembled, not the day the payer reads it. DocuFindr checks the packet at that moment.

Each order is scored against the payer's documentation rules before it goes out. When something is missing, a signature, a date, a face-to-face note, support for the item billed, it is flagged by name in your coordinator's queue with the likely denial reason attached. Your team fixes it while the referring office still remembers the patient.

What it will not do. DocuFindr is not an appeals service. If a claim is already denied, it can show you which gap caused it, but the value is in the claims that never get denied. If most of your denials are eligibility or coding rather than documentation, say so on the walkthrough, because that changes the answer.

Why it matters. Industry estimates commonly put claim denial rates for documentation-heavy workflows in the 10 to 20 percent range, with prior authorization commonly taking 3 to 10 days. Every packet that goes out right the first time skips that loop entirely.

Yes. CMNs and written orders are where most avoidable denials start, because a single missing element invalidates the whole claim and nobody notices until the payer does.

DocuFindr reads each document field by field: required sections, prescriber identity, order date, item and quantity, signature and attestation. Then it cross-checks the chart notes so the order is supported by what the physician actually documented. The output is a plain-language fix list your team can send back to the referring office the same day.

A straight answer on edge cases. Handwritten, faxed-three-times documents are harder to read with confidence. When DocuFindr cannot confirm a signature or date, it says so and routes the document to a person. It does not guess, and it does not auto-approve.

CMS-0057-F requires impacted payers to stand up FHIR-based prior authorization APIs by January 1, 2027. Requests will move electronically and decisions will come back faster.

What it does not do is make an incomplete packet complete. A faster channel just returns the rejection sooner. DocuFindr validates the prior auth packet against payer requirements before submission and flags missing fields while the coordinator still has the file open, so the faster channel actually produces faster approvals.

The date to plan around. January 1, 2027 is the CMS-0057-F deadline for payer prior authorization APIs. Suppliers who fix first-pass completeness before then get the benefit of the new speed. Those who do not simply get faster denials.

Yes. Inbound fax referrals and PDFs are read and turned into structured fields, and the documents are sorted by type and grouped by patient as they arrive.

The bigger win is when the gap gets found. Today most suppliers discover the missing chart note at billing, weeks after intake. DocuFindr flags it on the day the referral lands, so the request to the physician's office goes out while the order is still fresh.

What this means for your team. This is not a headcount play. The coordinators who spend their day keying fax pages spend it on the exceptions and the referral sources instead. Same team, more volume, more revenue protected.

Yes, on Professional and Enterprise. Resupply is where quiet revenue leaks, because the documentation that qualified the patient last year may not qualify them this cycle.

DocuFindr tracks upcoming supply cycles and validates the refill request and continued-need documentation before the payer window opens. Orders and qualifying documents that are about to lapse are surfaced ahead of time, not after the claim comes back.

DocuFindr is built to sit alongside the system your team already works in, not replace it. Nobody should have to learn a new billing platform to get cleaner claims.

Brightree is our first native connector and is being built through their partner program now. Until a connector is live for your system, documents come in through fax and upload, and validation results land in a coordinator queue your team works next to their existing screens. We will tell you on the walkthrough exactly where your system sits on that list.

No surprises on integration. If a live, two-way integration with your specific system is a hard requirement for day one, ask about it directly on the walkthrough. We would rather say not yet than let you find out in implementation.

Yes. A HIPAA Business Associate Agreement is executed before anyone at DocuFindr touches protected health information, and we can turn it around within a day of request.

The platform runs on Microsoft Azure under HIPAA-aligned controls. Your patients' records are used to validate your documents, not to train anything.

Exactly where we are on SOC 2. SOC 2 Type I is in progress. We do not have a Type II report today. If your security review requires Type II before a pilot, tell us early and we will walk your team through the controls and the timeline directly.

What you can have on the first call. The BAA, our HIPAA compliance documentation and the current SOC 2 status, in writing.

No. Your coordinators are the reason claims get paid, and DocuFindr is built around them.

What changes is where their day goes. Less time hunting for a missing signature in a forty-page fax, more time on the exceptions that need judgment and on the referral offices that keep sending incomplete orders. The teams that get the most from it take on more volume with the people they already trust.

The practical upside. Healthcare admin turnover is high. When the rules live in the validation layer rather than in one senior coordinator's head, a new hire is productive sooner and a resignation does not take your first-pass rate with it.

It says so. Every check carries a completion score, and anything DocuFindr cannot confirm goes to a person in the exception queue with the reason it was flagged.

Nothing auto-approves silently. The design goal is that your coordinator only looks at the packets that need a human, and never has to wonder whether a clean-looking packet was actually checked.

Why we do not quote an accuracy number here. Accuracy depends on your document quality, your payer mix and your referral sources. The real number is the one we measure on your own documents during the free month, and you keep that report either way.

Yes, and we would rather show you your number than quote someone else's.

Start with a denial-rate audit. Share a recent sample of denials and remits, and we map which ones were documentation-driven and would have been flagged before submission. That gives you a revenue-at-risk figure built from your own claims before you run a single live document. The free first month then measures it live.

How the math usually lands. The comparison that matters is one month of DocuFindr against the value of the documentation denials it prevents in that month. For most mid-market suppliers, a small number of prevented high-value claims covers the fee. The audit tells you whether that is true for you.

Timing. Most tools in this space either speed up intake or work denials after they happen. DocuFindr owns the window in between: after the order is signed, before the claim leaves.

That is the only point where a documentation gap is cheap to fix. We catch it at the signature, not the appeal. And because we focus on DME and HME only, the payer rule library goes deep on the documents suppliers actually submit rather than broad across every specialty.

If you already have a tool. If you already automate intake, DocuFindr can sit downstream of it and validate what it produces. We will tell you plainly if what you have already covers the gap.

Four pieces: intake configuration for your fax and upload channels, payer rule setup for your payer mix and states, a connector where one exists for your system, and hands-on training for the coordinators who will work the queue.

It starts with a 15-minute walkthrough on your documents and payers, then the free first month on live volume. Implementation is a one-time $10K to $25K depending on integrations, and the walkthrough is where you get your number.

Three flat monthly plans, sized by document volume, and your first month is free.

The free month covers up to 3,500 documents on the full platform, so you judge it on your own referrals and payers rather than a demo file. After that it is a flat fee. We never price on a percentage of claim value or collections.

The part people check. If the free month does not catch enough documentation risk to justify the fee, you keep the findings report and decide from there. That is a fine result for both of us.

Fair question, and the answer is worth more than a feature list.

DocuFindr is not the right fit if you are a hospital, physician group or specialty outside DME and HME, because the rule library is built deep for suppliers rather than wide for everyone. It is not an appeals or collections service for claims already denied. And if you process a few hundred documents a month, a well-run checklist may serve you better than a platform.

It is the right fit for DME and HME suppliers roughly $5M to $200M in revenue, with real referral volume, a documentation denial problem that has survived one round of retraining, and ideally a heavy Medicare Jurisdiction C footprint.

Where it goes deepest today. Medicare Jurisdiction C rules (FL, GA, NC, TN, OH) come pre-configured, alongside CMS and major commercial payers. Suppliers on Brightree, WellSky and NikoHealth are the teams we build for first.

DocuFindr.AI Inc builds pre-denial documentation validation for US DME and HME suppliers. One vertical, on purpose.

The company is led on the technical side by Edrin Thomas, CTO and Co-Founder, and is a member of the NVIDIA Inception program. We do not publish customer names without their written permission, so references are shared directly on the walkthrough once there is a fit.

Trust signals. HIPAA compliant. BAA available and signed before any PHI access. SOC 2 Type I in progress. NVIDIA Inception member.