Built for SNF business offices
Recover denied and underpaid claims, and never miss a payer deadline.
Sovo helps your business office work denials, underpayments, and document requests. It checks claims against your payer contracts, tracks every deadline, gathers the supporting records, and drafts the response for your team to review.
Your business office is doing the work of three people.
Here's where the time goes:
Deadlines slip
Appeal and document request windows differ by payer, plan, and contract, and a missed date can end the claim.
Underpayments hide
When a payer pays below your contract rate, the remittance shows a routine adjustment, so nobody chases it.
Every case takes hours
Pulling records, matching contracts, writing letters, and calling payers back.
Most denials can be reversed.
The ones that aren't still cost providers real revenue.
- ~17%
- of Medicare Advantage claims are initially denied
- ~57%
- of those denials are eventually overturned
- ~7%
- net MA revenue lost to denials, even after overturns
How it works
- Step 1
Upload and integrate
Upload remittances (835s), denial letters, document requests, and your payer contracts. EHR and clearinghouse connections are coming soon.
- Step 2
Review the case
What happened, whether you were paid correctly under your contract, the deadline, and what's missing.
- Step 3
Respond
A drafted appeal, a document request packet, or call prep. Your team reviews and sends.
- Step 4
Track until paid
Follow-ups and escalation steps logged for each claim.
See it in action
A real denial, start to finish: accept the evidence, generate the appeal, review the packet, and send it.
- 1Accept evidence
- 2Generate appeal
- 3Review packet
- 4Send it
Eleanor M.
Claim SNF-48291 · Sunrise Manor SNF · First-level appeal
Step 1 of 4: Accept the 3 documents the system found in the resident's records.
Why it was denied
CO-50 · Not medically necessary
Documentation Checklist
Next step0 of 3 attached — accept each suggestion
“Resident requires skilled nursing monitoring for post-surgical wound care and medication management.”
“Daily skilled nursing notes show wound dressing changes and vital sign monitoring, 10/01–10/14.”
“Section GG scores show a decline in self-care requiring hands-on assistance since admission.”
Claim details
Billed $18,420 · Paid $0 · Oct 1 – 14
Appeal Draft
Accept the evidence in the checklist first — the draft cites it.
Fixed demo data — nothing here is sent anywhere.
Not another RCM tool
Your billing system submits claims and posts payments. [Product Name] helps your business office work what comes back: the denials, short pays, and document requests.
Contract-aware
Rates and deadlines come from your signed payer contracts.
A deadline on every case
Appeal and document request dates tracked per payer and plan; if a deadline is unknown, the case is flagged urgent instead of guessed.
Evidence you can verify
Each argument links to the document behind it.
Your team stays in control
Nothing is sent automatically; your staff reviews every response.
Built with SNF operators, from the ground up.
We're a new company building alongside SNF business office managers and billing directors. We're looking for a small number of design-partner facilities for a free pilot. Pilots start with redacted documents and exports your team prepares.
- AL
Andrew Lee
Founder
Previously at Accenture, working inside a major healthcare payer's IT organization and on a state Medicaid program. Completing an M.S. in Analytics at Georgia Tech.
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