Your 24/7 denial resolution team
See Ambra in Action
Your queue handled in one place:
Resolve
Ambra reads the patient care report, pulls the clinical evidence, detects the plan type, and generates a payer-ready appeal package.
Medical necessity denial to appeal submission in seconds.
60 days, then we appeal.
Ambra monitors every open appeal. When a payer misses a statutory deadline, Ambra cross-references state regulations, generates a compliance affidavit, and pre-fills the DOI or Dept. of Labor complaint.
Payers respond faster when they know you know the law.
Your write-off queue saved from collections.
Ambra ingests stale denials, identifies which are still within appeal windows, scores them by recoverability, and generates appeal packages for the highest-value claims first.
Does Resolve work with our existing billing system?
No change is necessary. Ambra integrates with your existing PCR, CAD, and clearinghouse stack, using standard EMS data formats and EDI (X12). Ambra sits on top of your architecture to improve the data before it flows into the systems you already use, then gives you the command center to control it all. Zero rip-and-replace.
How does Resolve handle a denied claim?
Resolve reads the denial codes on each remittance, maps them against payer rules and filing deadlines, and determines the best next step. If an appeal is rejected, it escalates automatically — peer-to-peer reviews, state complaints, DMHC or CMS filings.
How long does it take to see results?
Most agencies see recovered revenue within 30 to 60 days. Resolve cuts average denial resolution from 42 days to 4, reduces cost-per-rework from $86 to $8, and lifts net revenue by an estimated 10%. For a mid-size agency running 20,000 transports a year, that's roughly $600,000 in recoverable revenue sitting untouched.
Will Resolve take actions on claims without my team's approval?
No. Every action — appeals, complaints, payer outreach — requires your team's review and approval before anything is submitted. Resolve flags high-acuity claims and routes them to the appropriate billing team member.
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