ZOE is the forensic AI layer for hospitals, health systems, and physician groups. It reads every payer contract and adjudication, finds underpayments and denials your team already wrote off, and recovers them with audit-ready evidence.
Payer contracts, fee schedules, prior-auth rules, your 835s and 837s, plus the denial history sitting in your RCM. We work with what you have, Epic, Cerner, Athena, Meditech, NextGen. SFTP or secure object storage.
ZOE applies the codified contract logic to your historical adjudications. Underpayments, soft denials your team wrote off, missed timely-filing wins, missed clinical-policy arguments, surfaced with the dollar delta and the contract clause.
Every recoverable claim is packaged with a payer-specific appeal letter, the exact contract clause, the clinical evidence, and the precise dollar argument. Your team approves, ZOE submits, or hands off to your appeals team.
ZOE's forward-looking layer reads your charge capture and pre-bill claims, flagging the patterns most likely to be denied or underpaid, before they leave your facility. Less write-off. More clean claims.
No black-box statistics. Every recoverable claim ships with:
Hit "submit" - ZOE files the appeal. Hit "decline" - ZOE learns your team's rulings.
No implementation fee, no licensing fee, no platform fee. We earn alongside you, on what we recover.
You pay a fixed percentage of confirmed recoveries. If we don't recover, we don't get paid.
Bring 24 months of claims. We deliver a recoverable-revenue report in 30 days. Recover for 60 more. Then decide.
ZOE works alongside your RCM. We don't replace Epic, Cerner, Athena, Meditech, or anything else, we make them work harder.
SFTP or secure object storage. 837, 835, UB-04, CMS-1500, CSV. No API to build on your side.
Compatible with Epic, Cerner, Athena, Meditech, NextGen, and most homegrown RCM environments.
Stand-up in 2 weeks. First recovery report in 30 days. No platform integration, no professional services.
BAA on day one. SOC 2 Type II observation window underway. Google Cloud Healthcare partner.
From the boardroom to the appeals desk, ZOE hands every seat in the revenue cycle the same forensic source of truth, so the team finally rows in one direction.
Turn write-offs back into cash. Forecast net revenue with line-level evidence of payer behavior.
Stop relying on luck-of-the-claim recovery. Make every appeal contract-grounded and defensible.
Walk into every appeal with the contract clause, the clinical evidence, and the dollar argument pre-built.
A defensible, auditable trail from contract clause to claim payment to recovery. Ready for any review.
Stop chasing claims one by one. Work the patterns ZOE surfaces by payer, by code, by clause.
Every payer contract codified once, applied to every claim, versioned forever. No more spreadsheets.
Partnering with Gabeo.ai has been a game-changer for us. Their AI didn't just automate our workflows, it recovered lost revenue by overturning denials we had written off as unrecoverable. In fact, 50% of all overturns during the pilot came from those write-offs.