Stop fighting payers with outdated information.
Get fewer denials | Win more appeals | Recover more revenue
Your source of ground truth.
Our knowledge graph maps relationships between payer medical coverage policies, medical guidelines, supporting literature, case law, previous appeals - all connected to diagnostic and procedural codes.
Penelope surfaces the right documents for the right case - and analyzes them for you.
For too long, only payers have known the rules.
Your RCM team digs through broken policy links in outdated Excel sheets and old email threads to try to get the medical necessity criteria they need.
When they finally find it? The policy changed last month. No one told them. Denial.
Your team has been fighting blindfolded this whole time. That changes now.
Choose how you use.
API access
Plug our knowledge graph into your existing workflow.
Real-time access to medical necessity and guideline updates.
Using AI agents? We're the rails that keep them on track.
Stack, platform, and vendor agnostic.
Claim-scrubbing co-pilot
Why wait for a denial?
Penelope helps your team cross-check claims against payer-specific policies before submission.
Surface issues before your claims leave the building. Catch documentation gaps or coding errors early.
Reduce days in A/R. More revenue.
Automated appeals
Drop in your denial letter. We'll show you the evidence you're missing and draft the appeal.
Was a similar denial overturned in California in 2018 after independent medical review? Or does the 9th Circuit ruling in favor of Ryan S. v. UHC support your behavioral health claim?
Penelope strengthens your argument.
