Orlin Labs builds Overturn: AI-assisted denial recovery for US healthcare providers. It ingests your claims, remittances, and denials, diagnoses what is actually recoverable, and helps your team win it back. A person reviews every appeal before it reaches a payer.
Payers deny claims faster than any billing team can fight them, and the appeals that never get written become write-offs. That is the surface Overturn is built on.
Every denial arrives as a CARC code and a shrug. Overturn diagnoses each one: category, root cause, appealability, dollars recoverable. Your worklist is ranked by expected value.
The appeal your biller never had time to write. Payer-specific letters grounded in cited sources, drafted in minutes. A person reviews and approves every one before it goes out.
An appeal that misses its window is a write-off. Every filing deadline is tracked, every outcome recorded, and every recovered dollar attributed back to the claim it came from.
Overturn never submits anything to a payer on its own. Every appeal is reviewed and approved by a person before it leaves the building, the same way you would run a practice.
An appeal that cannot point to the payer policy, the CARC code, and the documented clinical facts behind it is not an appeal. Every claim in every letter traces to a source.
When a denial is ambiguous, it routes to a person instead of being quietly classified. In revenue that belongs to your patients' care, silence is the one failure mode we refuse.
Claims, 835 remittances, and denial files in the formats your clearinghouse already produces. No new workflow for the front desk, no re-keying.
Each denial is worked up like a case: category, root cause, whether it can be appealed, and what it is worth. Ambiguity escalates to a person rather than being quietly guessed.
Payer-specific appeals grounded in cited sources, reviewed and approved by your team, then tracked through every deadline to a recorded outcome.
Of US claims are initially denied, across payers and specialties
Of denied claims are never appealed. Earned revenue, written off
Of outgoing appeals reviewed and approved by a person
PHI used to train shared models
Denial and appeal figures reflect published industry benchmarks; they vary by payer and specialty. We will walk through the sources and our own numbers with any practice evaluating us.
No practice hands over PHI on the strength of a demo. These are the commitments Overturn is designed against from the first commit.
PHI is encrypted in transit and at rest, access is scoped, logged, and revocable per user, and we operate under BAAs.
Overturn never auto-submits anything to a payer. A human reviews and approves every outgoing document, without exception.
PHI and practice data are never used to train shared models. Your records stay yours, permanently.
Every practice runs against isolated storage and credentials. No shared tenancy for clinical or billing data.
Every extraction, edit, approval, and export is recorded with actor, timestamp, and prior value.
Appeals are grounded in payer policy and documented clinical facts. Overturn does not provide medical or legal advice.
