For small medical practices and medical billing companies in the US: upload the denial or the remittance advice, the denial reason is read and sorted, an appeal letter is drafted from the payer's reason and your documentation, and the appeal deadline is tracked until the claim is resolved.
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Two-physician practice, 41 denials in a month. The list shows 12 denials for missing prior authorization, 9 for medical necessity and 20 smaller ones. The biller opens a medical-necessity denial, the draft letter cites the payer's reason and points to the chart note, the biller edits two sentences and sends it.
Choose your planEvery practice that bills insurance gets denied claims: a missing prior authorization, a coding mismatch, a question of medical necessity, a timely-filing issue. Each denial comes with a reason code on the remittance advice, and each one that is worth fighting needs an appeal letter sent before the payer's deadline.
In a small practice or a small billing company, appeals are written by the same people who post payments and chase eligibility. Writing a letter means reading the denial, finding the right chart notes, looking up the payer's policy and wording an answer — so many smaller denials are never appealed, and the money stays with the payer.
The service starts with the denials. You upload the denial letter or the remittance advice, and each denied claim is read: payer, date of service, procedure, amount and the reason given. The list is sorted by reason and by payer, so you can see at a glance which denials repeat and which are worth an appeal first.
For each denial you choose to appeal, a letter is drafted that answers the payer's stated reason: what was denied, why the service met the payer's own criteria, and which documentation supports it. You attach the chart notes, the authorization or the corrected codes, review the letter, edit what you want and send it the way the payer accepts.
Every appeal keeps its deadline. The list shows how many days are left for each one, and an appeal that is close to its filing limit moves to the top. When a decision arrives, you mark the claim as overturned, partly paid or upheld, and the second-level appeal can be drafted from the same record.
Over a month the picture becomes clear: which payers deny most, for which reasons, how many appeals were sent and how many were overturned. A recurring denial reason is often a process problem at the front desk or in coding, and seeing it in numbers makes it easier to fix at the source.
The service is built for independent practices and small billing companies that handle denials themselves. It works in the browser, nothing to install, and every account works under a Business Associate Agreement because the documents contain protected health information.
Getting started takes one sitting: upload last month's denials, choose the first appeals to draft, and compare the letters with the ones you write today. Your team can work in the same account, each biller with their own claims.
The service drafts letters for your review; it does not give legal or medical advice, and the practice remains responsible for every appeal it sends. It is in preparation: we are checking whether practices need it before it is built.
Independent medical practices and small billing companies in the US that appeal denied claims themselves.
No. It drafts the letter; you review it and send it the way the payer accepts.
The denial letter or the remittance advice, and the documentation you want to attach.
Yes, every account works under a Business Associate Agreement.
Not yet. The service is in preparation, and we are checking whether practices need it.