ACE / CODING SUPPORT
Before the claim
Connect clinical documentation, proposed codes, and specialist review.
Explore ACEHEALTHCARE / APPEALS & DENIALS
AAD / AI-ASSISTED APPEAL AND DENIALBuild the case.
Support the appeal.
AI-assisted appeals that prioritize, assemble, draft, and prevent—helping teams pursue recovery on denied claims.
Evidence to a reviewed appeal
- 01Prioritize denials
- 02Assemble evidence
- 03Staff-reviewed draft
CONNECTED HEALTHCARE AUTOMATION
From coding support
to denial follow-up.
AAD is Three Shores AI’s companion to ACE within agentic AI and healthcare automation. ACE supports accurate coding up front; when a claim is denied, AAD helps teams prioritize appeals and prepare evidence-backed responses.
AAD / APPEALS & DENIALS
After a denial
Identify appeals worth pursuing and assemble the evidence for a staff-reviewed response.
THE AAD INNOVATION
Four steps toward
a stronger appeal process.
01
Prioritize
Denied claimsRecovery valueAppeal priority
Rank denied claims by recovery value and appeal likelihood, so effort goes where it actually pays off.
02
Assemble
DocumentationEvidenceAppeal record
Automatically gather the supporting documentation and evidence an appeal needs.
03
Draft
EvidenceDraft responseStaff review
AI-assisted drafting of evidence-backed appeal responses, reviewed by staff before submission.
04
Prevent
Denial patternsProcess feedbackPrevention
Feed denial patterns back into the process to reduce the denials that happen in the first place.
HUMAN REVIEW BEFORE SUBMISSION
AI prepares.
Your team reviews.
- 01
Evidence
Gather supporting documentation.
- 02
Response
Prepare an evidence-backed draft.
- 03
Staff review
Review the response before submission.
- 04
Learning
Use denial patterns to inform process improvements.
WHERE AAD FITS
Connected capabilities and markets.
AI-ASSISTED APPEAL AND DENIAL