Denial appeals · For practices & billing teams
Your denied claims are revenue you already earned. We go get it back.
Send us 10 denied claims. We return payer-specific, submission-ready appeal letters within 72 hours — free. After that, you pay 15% of what we recover. Nothing recovered, nothing owed.
No software to learn. No subscription. No contracts. A signed BAA before any patient data is exchanged.
Request for Reconsideration — Medical Necessity
Dear Appeals Reviewer: We respectfully dispute the determination that the above services were not medically necessary under the plan's coverage criteria. Per the treating provider's documented evaluation, the patient presented with functional deficits meeting LCD threshold requirements…
The denial conflicts with the payer's own published medical policy §4.2, which provides coverage when objective measures demonstrate…
Every letter cites the payer's own policy language. Read a full sample →
How it works
You forward denials. We return finished appeals.
Built for practices and billing teams that don't have an appeals department — and shouldn't need one. See the full process →
Send your denials
We sign a BAA, then you upload EOBs/ERAs and visit documentation to a secure portal. PDFs straight from your clearinghouse are fine. No integration required.
We draft the appeal
Each letter is built for the specific payer, denial code, and your documentation — citing the payer's published medical policy. A reviewer checks every letter before delivery.
You submit, you collect
Submit through your normal channel. When the claim pays, we invoice 15% of the recovered amount. Denied again on appeal? You owe nothing.
Who we work with
Built for the specialties payers deny the most.
Each specialty gets denied differently — so we fight them differently. Find yours:
Physical & occupational therapy
Medical necessity, visit caps, 8-minute-rule unit disputes, and plan-of-care technicalities.
PT & OT appeals → CO-50 · CO-197 · telehealthBehavioral & mental health
90837 downcoding pressure, telehealth modifier denials, and higher-level-of-care auth fights.
Mental health appeals → CO-50 · AT modifierChiropractic
"Maintenance care" denials on active treatment, visit limits, and Medicare AT-modifier disputes.
Chiro appeals → Downcoding · frequencyDental
Downcoded perio treatment, frequency limitations, and medical-necessity denials on surgical work.
Dental appeals → CO-50 · CO-16 · same/similarDME suppliers
LCD criteria disputes, documentation denials, same/similar denials, and proof-of-delivery fights.
DME appeals → White-labelBilling companies
Offer appeals to every client without hiring. We draft under your brand; you keep the relationship.
Partner with us →Pricing
You only pay when you get paid.
We deliberately have no subscription. If we don't recover your money, we don't deserve any of it.
Ten submission-ready appeal letters at no cost, no card, no commitment. Use them, measure the overturn rate, then decide.
Contingency only. A $1,200 recovered claim costs you $180 — and nets you $1,020 you had written off. Unsuccessful appeals cost $0.
Compare: hiring appeals staff runs $25–35/hour, and most outsourced RCM firms take 4–9% of all collections, not just recoveries.
Questions practice managers ask us
The fine print, in plain English.
Is this HIPAA compliant?
Yes. We execute a Business Associate Agreement before any PHI changes hands, and documents move only through an encrypted portal — never email attachments. You can revoke access at any time.
Who actually writes the letters?
Appeals are drafted with AI trained on payer medical policies and appeal regulations, then reviewed by a human before delivery. You'll never receive an unreviewed letter, and you always see the letter before it's submitted.
Do you submit the appeals for us?
During the pilot, you submit through your existing payer portals or clearinghouse — it keeps you in full control. For ongoing clients we can handle submission and tracking end to end.
How do you know what we recovered?
You forward the remittance for appealed claims (or give portal read access). We invoice 15% of the payer-paid amount on overturned claims only — with the EOB attached so the math is verifiable.
What if a claim isn't worth appealing?
We'll tell you. Triage is part of the service — chasing unwinnable appeals wastes your time and ours, and we only make money on wins.
Free 10-claim pilot
Find out what your write-offs were actually worth.
Tell us a little about your practice. We'll reply within one business day with the BAA and a secure upload link.