Appeals Agent
Writing appeals is one of the most time-consuming tasks in RCM — and it's where revenue recovery happens. The Appeals Agent reads the denial reason, pulls supporting documentation from your EHR, and drafts a compelling appeal letter that addresses the payer's specific objection. Your team reviews, approves, and files — in minutes instead of hours.
How It Works
Four steps from setup to results — no IT project required.
Analyze the denial
The agent reads the denial reason code, the claim details, and the payer's specific objection to understand exactly what needs to be addressed.
Gather evidence
It automatically pulls relevant documentation from your EHR — clinical notes, operative reports, prior authorization records, and medical necessity documentation.
Draft the appeal
A targeted appeal letter is drafted that directly addresses the payer's objection with supporting evidence cited from the clinical record.
Review and file
Your team reviews the draft, makes any edits, and files it — either electronically or by mail, depending on the payer's requirements.
What It Does
Every capability included, out of the box.
Common Use Cases
Works With Your Stack
Frequently Asked Questions
Real questions from practices evaluating this agent.
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Ready to deploy Appeals Agent?
Talk to our team about how this agent fits your practice. 14-day deployment, no long-term contracts, 30-day money-back guarantee.
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