Appeal the clause, not the claim.
Denial and appeal automation, and CPT coding — every answer carrying the policy clause it came from.
The denial was never the problem. Finding the policy that caused it was.
We watched what billing teams actually spend the day doing, and asked which part is retrieval rather than judgement.
Billing teams were doing manual retrieval, all day
Which bulletin governs this procedure, under this plan, this month? That is search, not judgement.
Policy changes faster than a model can be trained
It knows what policy looked like at training time. Confident and current are different things.
A retrieval and governance core, already built
Grounded retrieval, audit trails and access control were already solved for InferAgents.
A private practice is not a health system
A five-physician practice has no IT department. It needs something that opens in a browser and works that afternoon.
PayerAgents drafts and cites. It does not submit, and it does not decide. A biller reviews every letter before it goes anywhere — the same human-accountability rule described in our AI governance position, applied to a different workflow.
Six things a billing team stops doing by hand
Every answer carries its source, and every draft stays a draft until a biller signs off on it.
Policy answers with citations
The answer, plus the policy document it came from.
Drafted appeal letters
Drafted against the specific language the denial turned on.
Policy libraries tracked daily
Tracked daily, not frozen at training time.
CPT coding support
Checked against current policy — before submission, not after a denial.
A biller stays in the loop
It drafts. It does not submit. A biller reviews and sends.
Built to the same data standards
Encryption, access control, audit trails. Zero retention, no training on your data.
Policy libraries tracked daily
Commercial and government payers, with more added on request.
Further payers added on request. Policy libraries are re-checked daily rather than captured once at training time.
What is PayerAgents?
PayerAgents is a payer policy intelligence and appeal automation product built by Inference Analytics. It is a browser-based tool for US private practice billing teams that tracks payer policy libraries daily, answers coverage questions with the exact governing citation, and drafts appeal letters for denied claims.
Who builds PayerAgents?
Inference Analytics. PayerAgents is one of the products in the InferAgents Suite, so it runs on the same HIPAA-compliant core as everything else in the suite — the same PHI handling, access control and audit standards, rather than its own.
Does PayerAgents handle prior authorisation?
No. PayerAgents covers denial and appeal management and CPT coding. Prior authorisation is a separate workflow and is not part of this product.
Does PayerAgents submit appeals to payers automatically?
No, and this is deliberate. PayerAgents drafts the policy answer or the appeal letter and supplies the governing citation. A biller reviews it, edits it if needed, and submits it through their normal channel. The human review step is part of the design, not a limitation of it.
Which payers does PayerAgents cover?
Aetna, UnitedHealthcare (commercial and Medicare Advantage), Blue Cross Blue Shield, Cigna, Humana, CMS Medicare, Anthem, Aetna Better Health and Meridian, with further payers added on request. Policy libraries are tracked daily rather than snapshotted at training time.
How is PayerAgents different from a general AI assistant?
A general assistant is trained on public data at a point in time and cannot tell you which Aetna clinical policy bulletin governs a given procedure today. PayerAgents stays current with the payer policy libraries themselves and cites the specific source, so a biller can verify the answer rather than trust it.
Does PayerAgents need to be integrated with our systems?
No. There is no EHR integration to build and nothing to install. It runs in the browser beside whatever system of record you already use, so it takes no work from IT to get started.
How does PayerAgents handle patient data?
With end-to-end encryption, strict access controls and full audit trails. Conversations are deleted after each session, there is zero data retention, and practice data is never used to train models.
See PayerAgents on its own site.
Product detail, pricing and a demo booking live at payeragents.ai.