MEDICAL CLAIM DENIAL DEFENSE

Automate your SwissDRG

denial defense.

Level the playing field against insurer algorithms. Built for Swiss hospitals, Citance uses advanced AI to resolve contested claims and recover lost revenue while remaining strictly FADP-compliant.

NATIVE DACH INTEGRATIONS NATIVE DACH INTEGRATIONS

Legacy tools just assign medical codes. Citance is an AI agent engineered to aggressively defend your revenue against insurer algorithms.

Hospital CFO
Anonymous CFO Major Swiss Hospital Group

"Insurers return ~22.5% of claims even though they are correct ~99.4% of the time, and we do not have the financial capacity to fight all of them."

Medical Coder
Anonymous Coder Swiss Hospital System

"Each review of a returned claim takes so much of the medical coders' time, even though the original coding was completely correct."

Patient Data (FHIR)

Unstructured Doctor Notes

Lab Results

Handwritten Staff Notes

Working...
SwissDRG 2026 CHOP Rules 2026 Kodierungshandbuch Argumentative Training
OUTPUT
Appeal Letter vertrauensarzt_correspondence
Recoding Logic code_changes
Audit Risk Assessment LOW / MEDIUM / HIGH
DRG Impact drg_impact

Eliminate Revenue Leakage

Stop losing money to automated denials. Citance eliminates manual review bottlenecks and prevents millions in lost hospital revenue.

CHF 330k+ Avg. Annual Savings

Enterprise Trust Center

We prioritize patient data security above all else. Your data never leaves Swiss borders, and models are ephemeral (tmpfs).

revFADP Compliant AES-256-GCM EU AI Act Ready

Cryptographic Audit Log

Every AI decision is deterministically linked to official guidelines and secured via an append-only, HMAC-signed JSONL audit trail for perfect non-repudiation.

THE IMPACT

~60%

Recovery of Silently Lost Revenue.

By automating chart review and guideline matching, Citance identifies and successfully defends downgrades that would otherwise be written off, transforming a loss-center into a highly efficient recovery operation.