mid-size and large hospitals
medium- and high-complexity beds
health plans integrated
claims processed and audited by Accrua OS
billing specialists and auditors empowered by Accrua
Hospitals deliver care today. They get paid in 77 days. And they get paid less.
Between discharge and cash, every claim goes through twelve steps, five parties and each payer's own rules. Errors start early, at registration, authorization and charge entry, and only show up at the end, as denials and delays.
Hospitals don't need another system. They need context at the moment of decision, a team that doesn't walk away and capital that doesn't eat the margin.
to get paid for care the hospital has already delivered
of health plan revenue is denied on first review
EBITDA margin to absorb denials, delays and rework
payers, each with its own contract, fee schedule and payment terms
Agents execute what is rule-based. People decide what changes revenue.
Most AI in hospitals dies in the pilot. Accrua OS already runs in production, in one of the most critical areas of the hospital.
XML validation, submission, deadlines and status, reconciliation, appeal drafts with the evidence the payer requires.
Changing or removing items that affect value, accepting or contesting denials. With clause, rule, fee schedule and history already consolidated.
Who acted or which agent acted, how and when, auditable by the hospital. The outcome feeds the next claim.
Operations generate the intelligence that makes capital possible.
We start with the revenue cycle, where losses arise and the data to assess risk is generated. With that visibility, claim by claim, contract by contract and payer by payer, we unlock capital based on the real risk of receivables.
The hospital delivers care
Integration with the HIS/ERP the hospital already uses. Nothing is re-keyed.
Accrua runs the claim
Accrua OS and the Accrua team audit, bill and appeal, claim by claim.
The engine understands the receivable
Payment time, denials and appeals by payer, plan and claim type.
Eligible production becomes cash
On the timeline the hospital needs, at a lower cost of capital.
A model built to deliver results together.
Accrua's fees are aligned with the value generated for the hospital, with auditable KPIs and gains. Starting from the assessment, we set targets based on operational maturity, contract complexity and data quality.
Accrua bills the agreed percentage of the gain.
Accrua doesn't bill. The risk is shared.
Founders with a rare track record of executing together at scale.
Accrua was founded by people who built infrastructure for complex, regulated, change-resistant markets, and know what it takes to go from zero to scale. Three decades of enterprise operations, from exit to IPO on the New York Stock Exchange.
When the claim arrives right and with its source, the audit stops being a dispute and becomes a check.
Payers need predictable claims costs. Hospitals need predictable revenue. Both lose in the dispute. Accrua makes the claim verifiable before it becomes a denial, with evidence and a trail in the standard the payer requires.
What does it cost to keep the revenue cycle as it is today?
Next month's denials are being created right now: in the poorly configured contract, the poorly documented authorization, the item used and never charged. They only show up 60 to 90 days later.
Every day of delay is money sitting idle at 13.75% a year, at minimum. With standard receivables financing, at 2% to 3% a month, with the denials handed back too.
With a 9.45% EBITDA margin, every real denied and lost takes ten reais of new care to replace. The revenue cycle transformation will happen; the question is who pays for the gap until then.
Not deciding is also a decision. And it costs you every month.
Calculate the cost of waiting →Sources: Anahp, 2025 and Q1 2026; Copom, Sep/2026; commercial ranges for healthcare receivables financing, 2026.
You know how much care you delivered. We show you how much should have come in.
In the demo, Accrua reads the history of claims sent to health plans and shows the opportunities claim by claim: what was denied and could have been avoided, what can be appealed, what was never billed, and what is at risk of missing deadlines.
30 minutes with a partner or revenue cycle specialist.