AI-Powered Denial Resolution
Denied claims, resolved.
We detect denials, generate evidence-based appeals, submit them, and track them through resolution.
Patient
Story & Impact
Provider
Clinical Context
ID: #8392-A
Appeal Package
Generated • Mail and Fax Ready
Insurance Review
We track timelines &
monitor responses
External Influence
Patient
Story & Impact
Provider
Clinical Context
ID: #8392-A
Appeal Package
Generated • Mail and Fax Ready
Insurance Review
External Influence
We bring patients, providers, and insurers together in one coordinated appeal workflow.
The real issue isn't the denial.
It's that patients rarely fight back.
850 million denials yearly. Almost no one appeals. Most who do, win.
Denials issued yearly
Patients who appeal
Win their appeal
Denial Decoder
What does your denial actually mean?
Select your denial reason for a plain-language explanation.
Select a denial reason above
We'll explain what it means and how to respond
How It Works
From denial to resolution
Four steps. Fully automated. Whether you're a patient, provider, or billing company.
Step 1
Step 1
Connect your denials.
Upload a denial letter, drop an 835 file, or connect your practice. However you get started, we take it from there.
Step 2
Step 2
9 layers of evidence.
Our AI cross-references clinical guidelines, payer-specific policies, federal regulations, state insurance laws, drug evidence, and coverage data to build the strongest possible case.
Step 3
Step 3
Build & submit your appeal.
A payer-specific appeal is generated with targeted arguments and submitted to 400+ connected payers. Fast, accurate, and built to win.
Step 4
Step 4
Track through resolution.
Real-time claim status tracking detects outcomes automatically. When the payer pays, you know immediately. You only pay when we win.
What You Get
Your appeal packet, previewed.
Three pillars. One clear argument. Built for the people who review it.
How this denial affects you
- Your health story in your words
- Timeline of treatments and symptoms
- Why this treatment matters now
We help you tell it clearly.
Status
Appeal Approved
The Moment That Matters
From denial letter to approval.
The feeling when you open that letter and see "approved." We help more families experience this moment every day.
Pricing
We only win if you do.
No upfront fees. No hourly rates. You pay nothing unless your appeal succeeds.
Pay only if we win
Success Fee
20% success fee, $49 minimum, $399 maximum.
Security & Compliance
Built for the data
that matters most.
Your health information deserves the highest standard of protection. Every layer of Appealio is engineered for it.
HIPAA Compliant
Full compliance with patient data protection standards, with signed BAAs across all vendors.
AES-256 Encryption at Rest
Your data is encrypted with military-grade standards on certified cloud infrastructure.
TLS 1.3 in Transit
Every connection between you and Appealio is secured end-to-end with modern encryption.
SOC 2 Type II Infrastructure
Built on SOC 2 Type II certified enterprise cloud infrastructure, audited annually.
Success Stories
Relief, not just reimbursement.
See how Appealio is helping patients across the country get the care they deserve.
"I was ready to give up after my third denial. Appealio found a policy loophole I never would have seen on my own."
Sarah J.
Chronic Pain Patient
"The process was calm, clear, and fast. For the first time in this whole ordeal, I felt like someone was actually on my side."
Mark T.
Caregiver
"My doctor's office didn't have time to fight the insurance company. Appealio handled everything professionally."
Elena R.
Autoimmune Patient