Pinnacle Services Corporation builds cutting-edge AI denial management solutions.

Pinnacle Services Corporation builds Recovr, an AI denial-management and denial-recovery platform for independent clinical laboratories, pathology groups, molecular diagnostics labs, specialty practices, and the medical billing and revenue cycle management firms that serve them. Recovr works after adjudication — on the claims that already came back denied. PayPredict, the intelligence layer, analyzes every denial against real-time eligibility, coordination of benefits, NCCI edits, LCD/NCD coverage policy, payer policy libraries, and provider registry data, then ranks each one by what is genuinely recoverable rather than by what was billed. Recovr AI, the action layer, executes. It drafts appeals with clinical justification, files corrected claims with pre-submission validation, opens payer reconsideration tickets, generates information-request letters, and uploads supporting documentation — submitting directly through Optum/UnitedHealthcare and the Availity multi-payer network. Every analysis carries a root cause, a confidence score, and cited sources. Every action is logged. Teams choose their level of automation: full autonomy under configurable Autorun rules, human-in-the-loop review before submission, or fully manual with the agent as a research assistant. Measured in production: a 51.3% overturn rate on medical-records reconsiderations filed automatically with documentation attached; $55.0M identified as truly recoverable across a $117.1M denied book; roughly 154 FTE-equivalents of manual labor avoided. Deployment uses standard HIPAA EDI 835 and 837 files. No EHR or practice-management integration project. Live in 48 hours. HIPAA-aligned data handling, PHI encrypted in transit and at rest, strict multi-tenant isolation, OAuth 2.0, role-based access control, and a complete timestamped audit trail. No upfront cost. No annual commitment. Month to month. Houston, Texas · pinnacleservice.co