Akeso follows a case through six stages. Pick a stage to see what happens there, or browse them all.
Ingest
Handwriting decipher AI
Turn photos of handwritten clinical notes, prescription pads and fax scans into editable text, with the original image beside the transcript for staff review.
Accepts PNG, JPEG and WebP images of notes and scans
AI-estimated word confidence highlights uncertain readings; staff can correct individual words
Expands supported clinical abbreviations and extracts medication, diagnosis and procedure mentions
Save a reviewed transcript, optionally linked to a clinical or Workers’ Comp case; extracted terms are not verified against official code lists
Every transcript requires staff review before clinical use — AI readings are not guaranteed accurate
Ingest
Chart & denial intake
Akeso Synapse™
Drop in messy chart notes, faxed denials, PDFs or photos. Akeso reads them and pulls out the facts that matter for the appeal.
Patient identifiers are replaced with tokens in the browser before documents are processed
Scan-quality score flags faxes that are too blurry to rely on
Batch intake for many cases at once
Ingest
Practice-specific workspaces
Each case opens in a workspace tuned to the practice type, with the checks that sector's payers actually apply.
Behavioral health parity, therapy visit caps, home health, DME suppliers
Primary care, imaging appropriateness and veterinary
Workers’ Comp claims, utilization review and return-to-work tools
Analyze
Cited evidence & policy review
Akeso Chronos™
Matches the case against the payer's own clinical policy and guidelines, and anchors every statement to a page in the chart.
Payer policy library with step-therapy ladders and criteria
Policy gap finder shows exactly which criterion is missing
Statements without a source are blocked from the letter
Analyze
Pre-submission stress test
Akeso Adversary™
Reviews the package the way a payer reviewer would and lists the gaps likely to trigger a denial before you send it.
Denial-risk score and likely reason codes
Suggested fixes ranked by impact
Expected value of appealing vs. writing off
Analyze
Coding & claim checks
Akeso Syntax™ · Akeso Quantum™
Catches coding problems that cause automatic denials: diagnosis specificity, bundling, modifiers and dosing math.
ICD-10, CPT, HCPCS and CDT crosswalks
Bundling and surgical-period modifier checks
Body-surface-area and dose calculations
Defend
Payer deadline clock
Akeso Lexis™
Tracks the CMS-0057-F decision windows — 72 hours for expedited, 7 days for standard — on every case and warns before they run out.
Live countdown per case with warnings under 12 hours
Drafts a late-decision notice for your review
Every notice sent is logged with a fingerprint
Defend
Appeal letters & peer-to-peer prep
Akeso Lexis™
Builds medical-necessity letters, step-therapy exception requests and talking points for peer-to-peer calls.
P2P battle cards with the payer's likely objections
ERISA and external-review drafts for legal review
Regulator complaints are drafts only — a person files them
Defend
Patient cost protection
Protects patients from copay accumulator programs and finds assistance programs when coverage falls short.
Checks state accumulator laws against the plan
Manufacturer bridge and assistance program matching
Biosimilar switch and buy-and-bill risk checks
Transmit
Send it out
Submit by fax, FHIR Da Vinci PAS, clearinghouse or pet-insurance carrier, and keep a record of every transmission.
Fax only to numbers your admin has approved
Signed payer sign-in for FHIR submissions
Patient text updates and a mobile status page (opt-in)
Transmit
Works inside your EHR
Launch Akeso from the patient chart and get prior-auth alerts at the moment an order is placed.
SMART launch and order-time alerts for Epic, Cerner, athenahealth
Compact sidebar view sized for EHR panels
Each EHR vendor must approve the connection before go-live
Recover
Denial recovery & analytics
Turn remittance files into a work queue and see where money is being won and lost.
Denial parser for 835, 277CA and FHIR responses
Priority queue, clawback defense and filing calendar
Payer scorecards and medical-director win rates from your own cases
Recover
Billing agency workspace
Agencies manage many client practices from one view with totals only — no patient details.
Per-practice approvals, denials and recovered value
White-label branding for each practice
Reauthorization and renewal expiration radar
Recover
Clinical Analytics & Forecast
See your practice's approval trends, payer delays and documentation gaps in one view, with date-range and linked-doctor filters.
Approval rates, time to decision, overdue cases and payer friction from recorded cases
Missing documents and step-therapy gaps from saved chart reviews, counted once per case; unreviewed cases are excluded
Estimated cash outlook and a 14-day procedure list when procedure dates are saved — forecasts are not guarantees
Download an Akeso-branded PDF with your practice name, key numbers, payer table, documentation gaps and forecasts
Protect
Security & compliance
SOC 2-aligned controls built for HIPAA: encryption, an audit log that can't be edited, and automatic screen lock.
Field-level encryption and a tamper-evident audit log
15-minute idle lock and role-based access per clinic
Signed BAA required before the workspace opens
Protect
Interoperability evidence
Logs how payer and EHR systems respond, and flags refusals or long delays as possible information blocking.
Connection log with response times and errors
Downloadable evidence package for legal review
Practice NPI and provider checks against the national registry
Defend
Workers’ Comp & managed care
Track injury claims and treatment authorizations, prepare utilization review requests and document return-to-work restrictions in a dedicated workspace.
Claim, employer, carrier and injury details with visits used versus authorized
Utilization review drafts using guideline limits supplied from your team’s licensed resources
Combine physician-entered whole-person impairment ratings — Akeso does not determine the ratings
Check payments against supplied state allowables, deadlines and interest rates
Prepare IME response drafts for professional review; nothing is sent automatically
Defend
Veterinary dispute engine
Pet-insurance claims and denials for companion-animal practices, with SOAP-note parsing and pre-existing condition rebuttals.
Emergency dispute workflow
Carrier-specific policy checks
Separate veterinary onboarding
See it on your own cases
Start a 14-day practice pilot or head back to the overview.