Payer outcomes · Layer 6

Where money moves.

Representative payer outcomes for SmartConsent Layer 6.

Representative pilot data. Not a live customer integration.
Alpha payer portal

Use the live Alpha login.

Demo portal. Representative data. No PHI.

Email alpha@payer.test
Code 0000
Open payer alpha
Dashboard surfaces mirrored here

Everything collected in the Alpha payer view.

The marketing page now carries the same payer story: outcome metrics, denial mix, claim-scrubber impact, revenue recovery, and the operational surfaces a payer sees after login.

01
Outcome summary

Denial rate, cycle time, claim volume, and SmartConsent verification rate.

02
Claim review

Recent claims table with masked patients, status, amount, submitted date, and consent state.

03
Denial intelligence

Denial reasons, denial trend windows, and provider-level performance signals.

04
Operations

Notifications, CSV export, AI scrubber stats, and revenue-impact projection.

www.ayrahealth.com/payers · Alpha Pilot Payer
Outcomes · Alpha Pilot Payer cohort
Providers · 6 · Patient IDs masked

Payer outcomes.

Denial rate
3.7%
vs 27.7% without SmartConsent
Avg cycle
1.3 d
vs 30–90 day baseline
Volume
13,887
13,704 in the last 30 days
Consent
61.7%
SmartConsent™ verified
SmartConsent™ impact

The delta that pays for itself.

13,887 validation scenarios. Cleaner evidence means fewer avoidable review cycles.

With SmartConsent
3.7%

Denial rate on cryptographically verified consent.

Without SmartConsent
27.7%

Industry-typical behavioral health claim variance baseline.

Delta
−24.0 pts

Percentage-point reduction.

Why claims get denied

The pattern repeats.

Missing proof drives many denials.

Every claim carries verified consent at submission.

1,783 denials this period
Medical necessity471 · 26.4%
Missing documentation446 · 25.0%
Duplicate claim434 · 24.3%
Authorization expired432 · 24.2%
On the SmartConsent roadmap

Caught before they ever hit you.

Roadmap: pre-submission checks plus Layer 6 attestation.

Roadmap · projected impact
Claims scrubbed
13,704

Projected — total run through pre-submission validation.

Auto-fixed
3,369

Projected — issues caught and corrected before submit.

Blocked for review
886

Projected — routed back to clinician for fix.

Vector one

Authorization expired

Validates prior auth against payer rules. Auto-extends or routes to ops.

Vector two

Duplicate claim

Dedupes by patient, CPT, date, amount before EDI transmission.

Vector three

Medical necessity

Checks CPT–ICD pairing against AMA CCI tables. Flags incompatible combos.

Vector four

Missing documentation

Verifies time spent, NPI, place of service. Pulls from session record if missing.

Revenue impact

What the delta is worth.

Each percentage point of denial reduction translates to recovered revenue. Representative projection from this pilot cohort, annualized.

Claims saved from denial
3,333

In a 90-day projection window, attributable to SmartConsent verification.

Recovered this period
$1.0M

At average claim value across this cohort. $1,001,700 specifically.

Modeled annualized impact
$4.0M

Projected from the 90-day pilot window. $4,006,799 specifically.

How SmartConsent works

Trust at the infrastructure layer.

Every administrative action — consent, session reference, claim evidence — is signed at the moment it happens and can be anchored to public DLT receipts. Reviewers check evidence without chasing paperwork.

01

Capture

Patient grants consent through voice or tap. The agreement is cryptographically signed and time-stamped at the moment of authorization.

02

Anchor

The signed consent hash is anchored to a public DLT receipt. The proof path is tamper-evident without exposing PHI.

03

Verify

When the claim submits, payer adjudication checks the receipt. No phone calls. No fax. No disputes.

For payer compliance and innovation teams

If this is the kind of delta you're trying to find, let's talk.

Early payer conversations shape integration design, contract structure, and pilot scope.