Sift Healthcare RevProtect

Prediction before the bill

The reimbursement risk prediction page says the models cover underpayments, DRG downgrades and clinical takeback probability "as care is documented," in pre-bill, from clinical, 837 and 835 data. The denials page calls the product "a denial prevention solution for hospitals and health systems" that "predicts and prevents claim denials before submission."

Recommendations and deployment paths

For each at-risk case, the actionable recommendations page lists documentation gaps, tests or assessments needed, provider query details and supporting material for claims and appeals. The homepage adds denial intelligence and prioritization, plus validation and learning with ROI metrics.

Three deployment paths appear on the homepage: use Sift's own interface, embed in existing tools (the EHR or a third party) as worklists, or work through a partner. The homepage names no EHR vendor.

Customers and the 88 health systems

The homepage claims "Sift intelligence deployed across 88 health systems," "329 proprietary MS-DRG playbooks," "692 normalized clinical + financial data elements" and "10,000+ data points analyzed across the full claims lifecycle." The about page states the company's thesis: "Denials persist around 15% despite waves of 'AI solutions'."

Hartford Healthcare and ProHealth Care appear as case-study logos. Their documents, "Driving Denial Reduction And Revenue Recovery Improvement" and "ML-Driven Denials Intelligence," sit behind a form. Sift also publishes an annual Denials Insights Report, which is vendor research.

Outside Sift's own material, PubMed lists 0 results for "RevProtect."

Funding and location, as reported

Justin Nicols founded Sift in 2017 and is CEO, according to BizTimes and Tracxn coverage. BizTimes reported a US$20M Series B led by B Capital in about May 2024, with Allos Ventures, First Trust Capital Partners and Rock River Capital. The Series A is reported at $6.75M by BizTimes and $9M by FinSMEs (July 2022), and aggregators put total funding between $32.5M and $41.96M.

Security pages

The homepage, the reimbursement risk prediction page and the actionable recommendations page state no HIPAA, BAA, SOC 2 or HITRUST status. A privacy policy exists at /privacy-policy.

No listed price

Sift lists no price, and the call to action is "Request a Demo."

The verdict

RevProtect suits a hospital whose utilization review, CDI, coding and patient financial services teams want denial and downgrade risk flagged before billing, with recommendations and prioritization on each case. Sift's pages describe prediction and recommendations, so a team that wants codes assigned automatically has a gap to fill.