A-Z was built by the operators of Vally Medical Group, a multi-location practice in Hawaii. We couldn't find a billing company that worked as hard as we did. So we built one. Our AI scans your entire claims history before a human ever touches your account.
We'll send your revenue analysis within 48 hours.
We connect to your EMR through Waystar and run a proprietary intelligence layer across your entire claims history. Every denial pattern, every payer-specific trigger, every dollar sitting in your backlog ranked by recovery probability. This is why we recover revenue other billing companies write off as dead.
Our AI clusters your denial history by payer, code, and reason. It surfaces patterns your team can't see, like Aetna denying 99214s at 3x the rate of United, or a credentialing gap causing silent CO-185 rejections across an entire provider.
Avg 47 patterns found per practiceMost practices have 6-18 months of denied claims sitting in their system that nobody has worked. Our engine scores every claim by dollar value, filing deadline, and appeal success probability, then attacks the highest-ROI recoveries first. Claims your old biller gave up on.
$127K avg recovered per practiceEvery future claim passes through our AI before it leaves your system. It checks payer-specific modifier rules, bundling logic, NPI accuracy, and documentation requirements. Errors that would become denials in 30 days get caught before they cost you money.
96% clean claim rate



















Most billing companies learned the business from textbooks and compliance manuals. We learned it the hard way—running Vally Medical Group, a multi-location practice in Hawaii, where every denied claim meant real consequences for real patients.
Our founder didn't start in medical billing. He started in the trenches of practice operations, dealing with the same impossible insurance companies, the same predatory contracts, and the same cash flow crises you face every month. When a major insurer changed their submission requirements overnight, we were the practice scrambling to adapt.
That's why when you call us about a denial, you're not talking to a call center script-reader in Manila. You're talking to someone who has personally fought—and won—the same battle with the same payer that just denied your claim.
A-Z was built by the operators of Vally Medical Group, a four-location practice in Hawaii. We built our own billing intelligence because nothing on the market worked the way we needed it to. Now we're opening it to a small group of practices who want the same edge.
Our proprietary billing agent scans your entire claims history and builds a complete profile of your revenue cycle. Every denial pattern, every payer behavior, every coding trend. You see what's broken before we touch a single claim.
Denials get classified by root cause, payer, provider, and recoverability in real time. No spreadsheets. No manual sorting. The system prioritizes what to fight, what to fix, and what to prevent, then your team executes.
Every claim passes through our scrubbing layer before it leaves your system. Payer-specific modifier rules, bundling logic, NPI validation. Errors that would become denials in 30 days get caught before they cost you money.
Our first 10 practices get direct access to the team that built this system for their own clinics. 12:1 client ratio. No ticket queues. No account managers juggling 40 practices. Your revenue is treated like ours because that's how we started.
We're selectively onboarding our first 10 practices with a locked founding rate and direct access to our billing intelligence platform. This isn't a beta test. It's a deliberate choice to go deep with a small group before we scale. Once the 10 spots fill, the rate and the access level change.