AI Agents to win denied health insurance claims.
Krishang Todi, CEO & Co-Founder
Aarav Bajaj, Founder
We’re Krishang Todi, Aarav Bajaj , and Dhanya Shah and we’re building Aegis.
💥 TL;DR:
Aegis automates the insurance appeals process end-to-end: from denial detection and compliant appeal generation to submission, tracking, and actionable analytics. We integrate with EHRs, clearinghouses, and payer portals, helping providers and medical billing firms recover lost revenue and save significant staff time.
🩺 The Problem
US healthcare providers lose $260B+ annually to denied claims, and spend $20B+ fighting them. Yet fewer than 15% of denials are appealed - even though over 50% of appeals are successful. With AI-driven denials on the rise, the system is collapsing under its own weight.
The current process of fighting a denial is manual, time-consuming and riddled with inefficiencies.
🧠 The Solution
Aegis plugs into a provider’s existing data stack (EHR, PMS, clearinghouses) to:
- Detect denials automatically: Aegis continuously monitors claims data streams from your clearinghouse and instantly flags denied claims without requiring manual intervention. These denied claims are then arranged by priority based on deadline and claim value.
- Pull patient records, EOBs, and payor docs: Aegis integrates with the EHR to fetch supporting materials, such as patient records, Explanation of Benefits (EOBs), and payer correspondence.
- Generate and submit appeal packages: Using AI trained on successful appeal language and payer requirements, Aegis drafts customized appeal letters, compiles required documentation, and submits the appeal directly to the insurance provider via appropriate channels (fax, portal, or clearinghouse).
- Track appeal progress and surface denial insights: Aegis provides end-to-end tracking of every appeal, including submission confirmation, status updates, and final resolution. Over time, it also analyzes patterns in denials- by payer, procedure, provider, and code- to help providers take proactive steps to reduce future denial rates.
We cut the cost of appealing a denial by 80% and reduce the time to file an appeal from 2+ hours to under 2 minutes.
👥 Team
We’re a team of three close friends from Carnegie Mellon University with deep, complementary expertise across AI, finance, and full-stack development- built for solving complex problems like healthcare claims. Aarav (CS + ML) brings AI research experience and worked at Palantir, where he helped deploy data-driven solutions at scale. Krishang (Econ + Math) did fixed-income risk modeling at one of India’s top funds. Dhanya (IS + CS) is a seasoned full-stack engineer who’s built production systems at three companies. Together, we’re building Aegis to bring automation, intelligence, and trust to healthcare appeals.
🙏 How You Can Help
Connect us to:
- CFOs at hospitals / MSOs
- Healthcare leaders open to advising
- Independent practice owners
- Founders who’ve sold into the RCM stack
Please shoot us an email at founders@aegishealth.us.
How did your company get started? (i.e., How did the founders meet? How did you come up with the idea? How did you decide to be a founder?)
Krishang and Aarav have been roommates for two years and close friends since day one of college, and all 3 of us have been closest friends since freshman year. The idea for Aegis came when Aarav’s anesthesia claim was denied. He spent weeks trying to appeal it—time and energy that should’ve gone toward recovery, not bureaucracy. That’s when we realized how broken the system was. We started building Aegis in February to fix it.
What is the core problem you are solving? Why is this a big problem? What made you decide to work on it?
Healthcare providers lose over $260 billion a year to denied insurance claims—and spend another $20 billion just trying to recover that money. It's a massive operational drain that takes time away from patient care and burns out clinical teams.We’re solving this by helping providers focus on care, not red tape. We experienced this problem firsthand and realised how deeply broken the system is—and how little innovation is aimed at fixing it.
What is your long-term vision? If you truly succeed, what will be different about the world?
A world where healthcare providers get paid what they’ve earned—quickly, fairly, and without friction. If we succeed, hospitals will have more time and money to invest in care, not paperwork. Providers can focus on healing, not haggling. And patients won’t have to fight to receive health insurance benefits while they are recovering for care.