Clinical billing intelligence
Prevent denials before they happen.
The AI intervention layer for healthcare reimbursement. Opdoc goes beyond autonomous coding to identify documentation gaps, coding issues, and payer policy risks before claims are submitted.
450M
claims denied each year due to coding and documentation errors
$20B
annual cost to the U.S. healthcare system
10 hrs
lost per physician each week to documentation complexity
How it works
A clean intervention layer between documentation and reimbursement.
Opdoc combines encounter understanding, coding automation, documentation validation, and payer intelligence in a single workflow that helps providers reduce denials and administrative burden in real time.
Ingests clinical data from office and surgical encounters.
Understands each encounter with clinically grounded AI reasoning.
Applies payer policy intelligence before claims are submitted.
Intervenes with recommendations that improve reimbursement outcomes.
Why Opdoc
Most AI coding vendors stop at coding. Opdoc goes further.
Generating codes is only part of the problem. Opdoc identifies documentation gaps, coding inaccuracies, and payer policy risks before claims are submitted so providers can maximize reimbursement and reduce denials.
Get paid for the care you provide
Opdoc does not stop at code generation. It highlights what needs to change before submission so providers can improve reimbursement outcomes.
Built on real clinical data
Our models are trained on real-world clinical and reimbursement data, delivering performance generic AI systems cannot match.
Audit your entire practice
Analyze historical encounters to uncover missed revenue, coding inconsistencies, compliance risks, and denial patterns at scale.
Product
Purpose-built for office visits, operative notes, and revenue cycle leadership.
Cora can audit encounters across any timeframe, surface compliance risks, and help organizations recover missed reimbursement opportunities with clinical and payer-aware context.
Coding intelligence
Let Cora handle coding complexity inside the workflow
Cora embeds directly into the clinical workflow to automate coding, validate documentation against payer rules, and proactively prevent denials before claims are submitted.
Surgical performance
Capture the full value of surgical encounters
Review operative notes, identify missing support, and ensure your organization gets paid for the services actually delivered.
Practice-wide visibility
Audit any timeframe and monitor organizational risk
Give providers and revenue cycle leaders clarity on compliance issues, missed revenue opportunities, and denial patterns across the entire practice.
Case study
Helping an orthopedic group improve compliance and reimbursement.
An orthopedic practice in Southern California was out of compliance due to its coding practices. Opdoc stepped in to help the team become compliant and improve financial performance quickly.
"Our physicians were consistently over coding and our RCM staff could not review all of the cases. Opdoc is helping us get compliant."
$2M
refunds owed to patients and insurance providers
$300K
in untimely filings uncovered
90%+
compliant coding achieved
85%+
reduction in coding time
7%
net increase in E/M charges
44%
baseline accurate E/M coding before Opdoc
Company
Built by healthcare, AI, and enterprise leaders.
Our mission is to supercharge healthcare providers and elevate the care experience by offering innovative, user-friendly AI-powered products.
We believe reimbursement integrity should be proactive, clinically grounded, and easy for providers to trust.
Ryan Troy
Co-founder & CEO
Technology leader and entrepreneur with 12+ years building enterprise software and leading global teams at Workday. Ryan has also contributed to healthcare innovation through work with Dana-Farber Cancer Institute, Hospital for Special Surgery, and Hoag.
Ted Blaine, MD
Co-Founder & Chief Medical Officer
Nationally recognized orthopedic surgeon and healthcare innovator with decades of leadership in academic medicine, including roles at Hospital for Special Surgery, Hartford HealthCare, and Yale.
Steven Fincke, PhD
Head of AI
NLP and machine learning expert with 20+ years building AI systems for healthcare and enterprise applications, including leadership in medical language understanding and text classification.
Olesya Hyrchyna
Head of Design
Product design leader known for crafting intuitive, high-impact experiences across startups, with a rare blend of technical depth, visual craft, and healthcare empathy.
Advisors
Contact us
Ready to improve reimbursement performance?
Tell us a bit about your organization and we'll set up a conversation about Cora, clinical workflow fit, and revenue cycle impact.
General inquiries: ryan@opdoc.ai
Leadership contacts: Ryan Troy + Dr. Ted Blaine