Claims Denial Management
Query this niche via MCP
market_report({ query: "Claims Denial Management", response_mode: "summary" })Agents · median
MCP servers · median
All plans — Agents vs MCPs
each dot = one provider · log scaleNo providers priced at the All tier yet.
All plans
0 pricedProvidervs its cohort medianMonthly
Position is relative to the provider's own delivery-type median at this tier — never a blended one.
What the figures on this page are. This page is Agentery's fixed-niche view of Claims Denial Management (latest observation 2026-10-14T03:32:48.116Z). The headline medians above are computed from that data per delivery type and buyer-tier tab: on a tier tab, the median of each provider's plan at that tier; on “All”, every priced plan point across tiers pooled. Small cohorts show as “too few” rather than a median. The embedded response below is the broader fixed-niche report: its
by_provider_type.*.median pools all tiers, pricing.byPersona.* is per buyer tier, and the unit cohorts (e.g. Pro flat) are per tier and billing unit — so those blocks legitimately differ from one headline figure. Over MCP today the advertised tools are market_report (a semantic neighbourhood for your query, not this fixed niche) and price_benchmark (query/task); niche_report stays callable as a legacy alias. Their cohorts are defined differently, so their numbers can differ from this page.market_reportprice_benchmark
See the MCP response behind this pagefixed-niche report (legacy niche_report alias, full mode) — broader than the headline figure
{
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"parent_sector": "healthcare-ops",
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"likeForLikePct": 0,
"kind": "composition",
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"index_series": {
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"index": 100,
"pairs": 3,
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"index": 100,
"pairs": 3,
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{
"day": "2026-09-18",
"index": 100,
"pairs": 3,
"dayChangePct": 0
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{
"day": "2026-09-19",
"index": 100,
"pairs": 3,
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{
"day": "2026-09-20",
"index": 100,
"pairs": 3,
"dayChangePct": 0
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{
"day": "2026-09-21",
"index": 100,
"pairs": 3,
"dayChangePct": 0
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{
"day": "2026-09-22",
"index": 100,
"pairs": 3,
"dayChangePct": 0
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{
"day": "2026-09-23",
"index": 100,
"pairs": 3,
"dayChangePct": 0
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{
"day": "2026-09-24",
"index": 100,
"pairs": 2,
"dayChangePct": 0
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{
"day": "2026-09-25",
"index": 100,
"pairs": 2,
"dayChangePct": 0
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{
"day": "2026-09-26",
"index": 100,
"pairs": 2,
"dayChangePct": 0
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{
"day": "2026-09-27",
"index": 100,
"pairs": 3,
"dayChangePct": 0
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{
"day": "2026-09-28",
"index": 100,
"pairs": 3,
"dayChangePct": 0
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"day": "2026-09-29",
"index": 100,
"pairs": 3,
"dayChangePct": 0
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{
"day": "2026-09-30",
"index": 100,
"pairs": 3,
"dayChangePct": 0
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{
"day": "2026-10-01",
"index": 100,
"pairs": 3,
"dayChangePct": 0
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{
"day": "2026-10-02",
"index": 100,
"pairs": 3,
"dayChangePct": 0
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{
"day": "2026-10-03",
"index": 100,
"pairs": 3,
"dayChangePct": 0
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{
"day": "2026-10-04",
"index": 100,
"pairs": 3,
"dayChangePct": 0
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{
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"index": 100,
"pairs": 3,
"dayChangePct": 0
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{
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"index": 100,
"pairs": 3,
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{
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"index": 100,
"pairs": 3,
"dayChangePct": 0
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{
"day": "2026-10-08",
"index": 100,
"pairs": 2,
"dayChangePct": 0
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{
"day": "2026-10-09",
"index": 100,
"pairs": 2,
"dayChangePct": 0
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{
"day": "2026-10-10",
"index": 100,
"pairs": 3,
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{
"day": "2026-10-11",
"index": 100,
"pairs": 3,
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{
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"index": 100,
"pairs": 3,
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{
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"index": 100,
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"methodology": "Chained daily price index, base 100 on the first priced scan day (29 Jun 2026). The overall index is the COMPOSITE of the four buyer-tier indices (individual / pro / team&sme / enterprise): each day it moves by the equal-weighted average of the tiers' moves. Each tier index is like-for-like — only agents priced on both consecutive scan days (per-agent ratios, geometric mean, clipped to [0.2, 5]) — so composition changes (agents revealing or hiding prices) can never move it."
},
"top_agents": [
{
"agent_id": "appealmyclaim",
"name": "Appealmyclaim",
"url": "https://appealmyclaim.pages.dev",
"short_summary": "Helps people in the US appeal a denied health insurance claim: appeal rights and deadlines for private plans, Original Medicare, Medicare Advantage, Medicare d…",
"price": {
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"billing": "not_found",
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"evidence_quality": "medium",
"upvotes": 0
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{
"agent_id": "corecare_ai",
"name": "Corecare Ai",
"url": "https://corecare.ai/",
"short_summary": "validates resident census, eligibility, and state forms data for skilled nursing facilities to identify and resolve revenue integrity issues before claims subm…",
"price": {
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"billing": "not_found",
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"upvotes": 0
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{
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"name": "Infinx",
"url": "https://www.infinx.com/revenue-cycle-agent-platform/",
"short_summary": "automates and optimizes healthcare revenue cycle workflows including prior authorization, eligibility verification, claims submission, document capture, denial…",
"price": {
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},
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"billing": "subscription",
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"headline": "From $5,000/mo",
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},
"evidence_quality": "medium",
"upvotes": 0
},
{
"agent_id": "payer_contract_optimizer_ai_ag",
"name": "Payer Contract Optimizer AI Agent",
"url": "https://vijan.ai/agent-tracker/payer-contract-optimizer",
"short_summary": "Analyzes payer mix and negotiates optimal reimbursement rates using historical claims data and market benchmarks",
"price": {
"observed": false,
"billing": "not_found",
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"headline": "No public price found",
"summary": "No reliable public pricing or billing period is disclosed for the Payer Contract Optimizer."
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"evidence_quality": "medium",
"upvotes": 0
},
{
"agent_id": "agentrise",
"name": "Agentrise",
"url": "https://apexon.com/ai-powered-claims-denial-management/",
"short_summary": "AgentRise is an AI-powered healthcare claims denial management product that predicts denial risks, checks claims before submission, automates appeals, analyzes…",
"price": {
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"monthly_usd": null,
"headline": "No public price found",
"summary": "No public price found on the vendor site."
},
"evidence_quality": "unclear",
"upvotes": 0
},
{
"agent_id": "claims_denial_prevention_worke",
"name": "Claims Denial Prevention Worke",
"url": "https://o2t.ai/portals/nexgile-sentinel-nexus/workers/claims-denial-prevention-worker/",
"short_summary": "An AI worker for claims-denial prevention in insurance workflows.",
"price": {
"observed": false,
"billing": "not_found",
"lowest_monthly_usd": null,
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"headline": "No public price found",
"summary": "No public price found on the vendor site."
},
"evidence_quality": "unclear",
"upvotes": 0
},
{
"agent_id": "denial_management_ai_agent",
"name": "Denial Management Ai Agent",
"url": "https://droidal.ai/denial-management-ai-agent/",
"short_summary": "An AI agent for managing denial-related workflows, likely in healthcare revenue cycle operations. Product details could not be verified because the page return…",
"price": {
"observed": false,
"billing": "not_found",
"lowest_monthly_usd": null,
"monthly_usd": null,
"headline": "No public price found",
"summary": "No public price found on the vendor site."
},
"evidence_quality": "unclear",
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},
{
"agent_id": "ezintegrations_healthcare",
"name": "Ezintegrations Healthcare",
"url": "https://ezintegrations.ai/ai-agents-healthcare-enterprise",
"short_summary": "HIPAA-compliant AI agents for healthcare enterprises that autonomously handle clinical and revenue cycle workflows including prior authorization, claims denial…",
"price": {
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{
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{
"name": "$120 + AI Credits plan",
"price": "$120 + AI Credits / month per automation",
"kind": "base_subscription",
"billed": "monthly"
},
{
"name": "$150 + AI Credits plan",
"price": "$150 + AI Credits / month per automation",
"kind": "base_subscription",
"billed": "monthly"
}
]
},
"observed": true,
"billing": "freemium",
"lowest_monthly_usd": 120,
"monthly_usd": 120,
"headline": "Free plan; paid from $120/mo",
"summary": "Free plan; paid from $120/mo. The pricing page shows a Free option and paid automation plans from $120 per month, with AI Credits associated with the $120 and $150 plans."
},
"evidence_quality": "unclear",
"upvotes": 0
},
{
"agent_id": "flobotics_denials_management",
"name": "Flobotics Denials Management",
"url": "https://flobotics.io/agents/denials-management-automation",
"short_summary": "AI agent that automates healthcare claims denial management by analyzing EOBs, identifying denial causes, correcting root issues, and generating appeal packets…",
"price": {
"commercial": {
"currency": "USD",
"lines": [
{
"name": "DIY / ChatGPT or Claude",
"price": "$0",
"kind": "free",
"billed": "monthly"
},
{
"name": "Most projects",
"price": "$15,000–$25,000",
"kind": "one_off",
"billed": "one_off"
}
]
},
"observed": true,
"billing": "one-time",
"lowest_monthly_usd": null,
"monthly_usd": null,
"headline": "Free; Most projects $15,000 (one-time)",
"summary": "Free; Most projects $15,000 (one-time). Flobotics publicly lists a $0 self-service option and custom automation projects starting at $15,000–$25,000, while larger engagements require a tailored quote."
},
"evidence_quality": "unclear",
"upvotes": 0
},
{
"agent_id": "transcure_ai_agents",
"name": "Transcure Ai Agents",
"url": "https://transcure.net/medical-billing/services/ai-agents",
"short_summary": "AI agents for medical billing automation that handle prior authorizations, denials, and repetitive RCM tasks. Includes ELIXA for eligibility verification and P…",
"price": {
"commercial": {
"currency": "USD",
"lines": [
{
"name": "AI Agents",
"price": "$0",
"kind": "free",
"billed": "monthly"
}
]
},
"observed": true,
"billing": "free",
"lowest_monthly_usd": null,
"monthly_usd": null,
"headline": "Free",
"summary": "Free. The homepage's structured data lists the AI Agents offering at $0, but provides no billing period or detailed public plan pricing."
},
"evidence_quality": "unclear",
"upvotes": 0
}
],
"platforms_also_here": [
{
"agent_id": "datrics",
"name": "Datrics",
"url": "https://datrics.ai/",
"short_summary": "Enterprise AI platform that automates medical coding, healthcare claim adjudication, audit, and compliance workflows for healthcare organizations with measurab…",
"price": {
"observed": false,
"billing": "not_found",
"lowest_monthly_usd": null,
"monthly_usd": null,
"headline": "No public price found",
"summary": "No public price found on the vendor site."
},
"home_niche": "medical-coding-cdi",
"also_covers": true,
"upvotes": 0
}
],
"page_url": "https://agentery.com/market/claims-denial-management",
"summary": {
"niche": "claims-denial-management",
"sector": "healthcare-ops",
"pricing_by_provider_type": {
"headline": "No published benchmark for claims-denial-management yet — too few comparable priced providers.",
"benchmarks": [],
"warnings": [
"No priced providers meet the benchmark bar for this scope."
],
"full_pricing_via": {
"tool": "price_benchmark",
"arguments": {
"niche": "claims-denial-management"
},
"note": "add provider_type + buyer_tier for a specific cohort"
}
},
"page_url": "https://agentery.com/market/claims-denial-management",
"counts": {
"listings_with_price_capture": 11,
"listings_with_observed_public_price": 4,
"providers_with_numeric_monthly_price_latest_scan": 2,
"like_for_like_comparable_pairs": 2
},
"movement": {
"d": {
"published": false,
"value_pct": null,
"held_reason": null
},
"w": {
"published": false,
"value_pct": null,
"held_reason": null
},
"m": {
"published": false,
"value_pct": null,
"held_reason": null
}
},
"pricing_version": "cohorts-1",
"pricing_status": "observed_offers_only",
"pricing_by_tier": null,
"observed_offers": [
{
"billing": "monthly",
"unit": "flat",
"count": 2,
"offers": [
{
"provider": "ezintegrations_healthcare",
"tier": "team_sme",
"billing": "monthly",
"unit": "flat",
"price": "$120 / mo",
"monthly_usd": 120
},
{
"provider": "infinx",
"tier": "enterprise",
"billing": "monthly",
"unit": "flat",
"price": "$5,000 per month",
"monthly_usd": 5000
}
]
},
{
"billing": "one_time",
"unit": "flat",
"count": 1,
"offers": [
{
"provider": "flobotics_denials_management",
"tier": "enterprise",
"billing": "one_time",
"unit": "flat",
"price": "$15,000–$25,000",
"monthly_usd": null
}
]
}
],
"pricing_coverage": {
"listings_with_price_capture": 11,
"listings_with_observed_public_price": 4,
"normalized_observations": 2,
"comparable_providers": 2,
"strict_cohorts": 0,
"exclusion_reasons": {
"unrankable_or_unparseable": 2,
"one_time": 1
}
},
"pricing_note": "No comparable cohort formed (a benchmark needs >=2 providers sharing a buyer tier AND billing unit). observed_offers lists the REAL provider offers, grouped and labelled by billing type — each is a single observed price, never aggregated across mixed units, periods or tiers.",
"pricing_excluded_observations": {
"unrankable_or_unparseable": 2,
"one_time": 1
},
"billing_mix": {
"freemium": 1,
"one-time": 1,
"subscription": 1,
"free": 1
},
"free_tier_share": 0.5,
"top_providers": [
{
"agent_id": "appealmyclaim",
"name": "Appealmyclaim",
"price": {
"observed": false,
"billing": "not_found",
"lowest_monthly_usd": null,
"monthly_usd": null,
"headline": "No public price found",
"summary": "No public pricing is shown on the homepage, and no pricing page was available."
},
"observed": false
},
{
"agent_id": "corecare_ai",
"name": "Corecare Ai",
"price": {
"observed": false,
"billing": "not_found",
"lowest_monthly_usd": null,
"monthly_usd": null,
"headline": "No public price found",
"summary": "CoreCare does not publish observable subscription pricing on the supplied homepage or case study page."
},
"observed": false
},
{
"agent_id": "infinx",
"name": "Infinx",
"price": {
"commercial": {
"entry_offer": {
"line": "Custom pricing",
"monthly_native": 5000,
"monthly_usd": 5000,
"commitment": "monthly",
"basis": "$5,000/month",
"billing_verified": true
},
"currency": "USD",
"lines": [
{
"name": "Custom pricing",
"price": "$5,000 per month",
"kind": "base_subscription",
"billed": "monthly"
}
]
},
"observed": true,
"billing": "subscription",
"lowest_monthly_usd": 5000,
"monthly_usd": 5000,
"headline": "From $5,000/mo",
"summary": "From $5,000/mo. Custom annual engagements start at $5,000 per month, with final pricing determined after discovery and solution scoping."
},
"observed": true
},
{
"agent_id": "payer_contract_optimizer_ai_ag",
"name": "Payer Contract Optimizer AI Agent",
"price": {
"observed": false,
"billing": "not_found",
"lowest_monthly_usd": null,
"monthly_usd": null,
"headline": "No public price found",
"summary": "No reliable public pricing or billing period is disclosed for the Payer Contract Optimizer."
},
"observed": false
},
{
"agent_id": "agentrise",
"name": "Agentrise",
"price": {
"observed": false,
"billing": "not_found",
"lowest_monthly_usd": null,
"monthly_usd": null,
"headline": "No public price found",
"summary": "No public price found on the vendor site."
},
"observed": false
}
],
"suggested_next_calls": [
{
"tool": "price_benchmark",
"arguments": {
"niche": "claims-denial-management"
},
"purpose": "full observed price distribution + per-tier medians for this niche"
},
{
"tool": "niche_report",
"arguments": {
"niche": "claims-denial-management",
"response_mode": "full"
},
"purpose": "the complete report incl. index series and tier decomposition"
},
{
"tool": "suggest_alternatives",
"arguments": {
"agent_id": "appealmyclaim"
},
"purpose": "comparable (optionally cheaper) providers to a named agent"
},
{
"tool": "get_agent_profile",
"arguments": {
"agent_id": "appealmyclaim"
},
"purpose": "full profile, integrations and pricing for one provider"
}
]
}
}Full market
3 providers, one sortable view
Dense enough for many listings; progressive disclosure keeps mobile usable.
ProviderTypeFromVs niche medianLiveness
Infinxautomates and optimizes healthcare revenue cycle workflows including prior authorization, eligibility verification, claims submission, document capture, denial…
Ezintegrations HealthcareHIPAA-compliant AI agents for healthcare enterprises that autonomously handle clinical and revenue cycle workflows including prior authorization, claims denial…
Transcure Ai AgentsAI agents for medical billing automation that handle prior authorizations, denials, and repetitive RCM tasks. Includes ELIXA for eligibility verification and P…Showing only providers with a published price or a free plan. $29 = lowest observed monthly · Free = free to use · Free tier = free plan + paid options.