An MRI denied as not medically necessary
- Before
- Searching the payer portal for the policy that applies.
- With PayerAgents
- A draft appeal citing the criterion the claim already meets.
An Inference Analytics product
payeragents.ai
Turn a denied claim into a cited appeal letter.
PayerAgents finds the payer rule behind a denial and drafts the appeal around it. Your biller reviews and sends.
Forbilling teams, private practices and specialty clinics
- 20×
- more payer appeals
- 50%+
- faster appeal turnover
How it works
From denial to appeal in four steps
Pick the payer
Each payer is answered from its own policy library.
Add the denial
CPT code, denial reason and the clinical context.
It finds the criterion
The exact policy rule the denial turned on.
Review and send
A cited draft. Your biller checks it and submits.
Where it helps
Three jobs it takes off your desk
A coding gap before the claim goes out
- Before
- Found weeks later, as a denial and a resubmission.
- With PayerAgents
- Flagged against payer policy before submission.
A coverage question, patient waiting
- Before
- A call to the payer, or a guess.
- With PayerAgents
- The requirement in plain language, with its source.
Representative examples, not customer case studies.
Inside the product
The screens your billing team works in
01Payer Library
Every chat scoped to one payer's own policy library.
02Agent Workspace
CPT checks, appeal letters and eligibility, in one place.
03Policy Intelligence
Answers carrying the payer's own requirements, cited to source.
04Appeal Builder
Pick the payers, paste the context, get a cited appeal letter.
Scroll to explore
What’s included
Everything in one browser tab
Answers with citations
Every answer shows the policy it came from.
Drafted appeal letters
Argued against the clause the denial turned on.
CPT coding checks
Caught before submission, not after a denial.
Policies tracked daily
Current payer rules, not a training snapshot.
A biller signs off
It drafts. People review and send.
Built for patient data
Encrypted, audited, never used for training.
Coverage
Payers tracked daily
Questions
Common questions
What is PayerAgents?
PayerAgents is a payer policy and appeal tool built by Inference Analytics for US billing teams. It tracks payer policy libraries daily, answers coverage questions with the governing citation, and drafts appeal letters for denied claims.
Who builds PayerAgents?
Inference Analytics. PayerAgents is one of its three products, alongside InferAgents and Inferch, and runs on the same HIPAA-compliant core, with the same PHI handling, access control and audit standards.
Does PayerAgents submit appeals automatically?
No, by design. It drafts the letter and supplies the citation; a biller reviews it and submits it through their normal channel.
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 more added on request.
How does PayerAgents handle patient data?
Encryption, access controls and full audit trails. Conversations are deleted after each session and practice data is never used to train models.