Crosby Health

What It Does

Crosby Health is an autonomous AI agent platform that automates the entire clinical appeals process for healthcare providers. Powered by Apollo, a specialized clinical large language model (LLM) designed specifically for revenue cycle management (RCM) tasks, the platform generates, submits, and tracks appeal letters for clinical denials — eliminating the manual burden that typically falls on providers and administrative staff.

Who It's For

Crosby Health serves hospitals, health systems, and specialty medical practices that face the ongoing challenge of clinical denials from payors. It's designed for revenue cycle teams, billing departments, and healthcare administrators who need to appeal every denial efficiently, regardless of balance size, to maximize revenue recovery.

Key Features & Capabilities

• Apollo Clinical LLM: A specialized language model fine-tuned for RCM automation with deep medical and billing knowledge, capable of processing up to 300 pages of documentation at 60 words per second
• Automated Appeal Generation: Crafts meticulous, evidence-based appeal letters that identify medical necessity within clinical documentation and incorporate integrated legal and clinical guidelines
• Unified Submission Platform: One-click submission to every payor, eliminating the need to navigate multiple portals and fax numbers
• Automated Tracking: Real-time tracking and confirmation of receipt, with immediate notifications when payor decisions are made
• Comprehensive Coverage: Appeals every denial, ensuring no revenue opportunity is left behind, even for small balances

Typical Workflows

When a clinical denial occurs, Crosby Health's AI analyzes the denial reason, reviews the patient's clinical documentation, identifies relevant medical necessity evidence, and generates a compelling appeal letter. The platform then submits the appeal directly to the appropriate payor through its unified interface and tracks the case through resolution, notifying the healthcare provider of outcomes.

What Differentiates It

Unlike manual appeal processes or generic automation tools, Crosby Health combines domain-specific AI (Apollo) with end-to-end workflow automation — from generation through submission and tracking. This purpose-built approach for clinical appeals means healthcare providers can appeal every denial cost-effectively while reducing provider burden and administrative overhead, ultimately improving revenue recovery rates across their entire payor mix.