Architecture
How Yeam works, end to end
A claim’s round trip runs from your EHR to the payer and back, and Yeam sits in the middle. Today it works the leg that stalls: when a payer denies, Yeam reads the response, checks each code against what that payer has paid before, ranks each denial by what is still recoverable and how many days are left to file, and drafts the specific fix, all before a biller opens the first claim.
EHR
where the claim starts · your system of record
Yeam
tracks every claim, works what stalls
Payer
adjudicates · pays, or denies
Inside Yeam
Source
Denial letter / EOB
PDF · image · Word
Claims export
CSV · XLSX
835 ERA
clearinghouse
Chart notes
EHR · FHIR R4
Adapter
Field mapping
one config per source; a new EHR is a mapping file, not a new integration
Normalized claim
Claim record
payer · CARC · amounts · dates; everything downstream reads this shape only
Engine
Denial playbook
picks the remedy
Code prediction
from what each payer paid
Payer profile
window · channel · form
Output
Corrected claim
CO-11 · CO-16 · CO-18
Appeal letter
CO-50 · CO-97 · CO-151 · CO-197
Reprocessing request
CO-22 · CO-109 · PR-204
What lands in the worklist, already ranked
A vague code still gets a specific next step
On its own, CO-16 only says “missing information.” Yeam reads the remark code riding with it and returns the one fix that clears the claim.
What goes wrong with denial tools
Four common complaints, and how Yeam handles each.
SpeedSorted the moment the export lands
No ten-minute wait per claim. The whole remit is screened at once, so a biller starts on the workable denials right away instead of reading 400 lines to find them.
PriorityRanked, not dumped
Every denial is scored by dollars recoverable and days left to the filing deadline, so the queue leads with what pays and what is about to expire.
ControlNothing is sent without a person
Yeam drafts the corrected claim or appeal for a biller to read, edit and approve. It prepares the work; it does not file behind your back.
PrivacyClaims kept, patients not
The free worklist runs in your browser and keeps nothing. The paid product keeps each claim's number, payer, codes, amounts and dates, encrypted, so it can track your deadlines. Patient name, member ID and date of birth are dropped at upload and never stored. Live claim data runs only under a signed BAA.
Where we are
The part most vendor pages leave out.
BuildingMulti-practice scoping
Serving many practices from one workspace is the next thing we build, and it comes before any EHR connector.
RequiredA signed BAA for real claim data
The public demo runs on synthetic documents only. A pilot on live claims starts with a signed BAA, and with your workspace moved onto hosting, database and model services covered by BAAs of our own.
MaturePayer rules, filing windows and denial playbooks
The most worked-over part of Yeam, and one you can test without talking to us: run your own export through the free worklist and check each remedy and deadline. Ingestion is the younger part.
The output routing above is live: run it on a sample denial in the worklist. What a pilot on live claims involves is on the security page.