Appeals Management
Track, draft, and submit appeal letters for denied claims
AI-Generated Appeal Letters
AI Automated
Traditional: Billing staff spend 1–2 hrs drafting each appeal letter from scratch. Industry overturn rate: <30%, average 30–60 day resolution.
ClaimlyRCM: ClaimlyRCM auto-drafts evidence-based appeal letters from clinical context and denial reason. Faster turnaround, higher overturn rate.
Total Appeals
6
Total at Stake
$15,940.00
Recovered
$5,600.00
Pending Review
$5,540.00
Appeal Cases
Manage denial appeals across all payers
| Appeal ID | Patient | Payer | Denial Reason | Amount | Status | Due Date | |
|---|---|---|---|---|---|---|---|
| APL-2026-001 | Patricia Lee CLM-2026-006 | Medicare Part B | Missing podiatrist certification form | $890.00 | draft | Feb 20, 2026 | |
| APL-2026-002 | Gerald Mitchell CLM-2025-098 | Aetna | Service not medically necessary | $3,200.00 | submitted | Mar 15, 2026 | |
| APL-2026-003 | Dorothy Chang CLM-2025-087 | Blue Cross Blue Shield FL | Duplicate claim submission | $1,450.00 | under review | Feb 28, 2026 | |
| APL-2026-004 | William Park CLM-2025-075 | Medicare Part B | Prior authorization not obtained | $4,800.00 | denied | Mar 1, 2026 | |
| APL-2026-005 | Susan Barnes CLM-2025-062 | UnitedHealthcare | Timely filing limit exceeded | $2,100.00 | approved | Jan 20, 2026 | |
| APL-2026-006 | Richard Martinez CLM-2025-055 | Medicare Part B | Service not medically necessary | $3,500.00 | overturned | Jan 15, 2026 |