Small denials do not get worked. A claim worth a few hundred dollars is not worth forty five minutes of a specialist's time, so it gets written off. AppealHound works that pile.
835 remits, paper EOBs, faxes and payer portal messages. One denial becomes one case.
CARC and RARC codes mapped to a root cause, with the payer's own appeal window.
Every clinical statement points to a chart excerpt. Every policy claim points to the payer policy and its effective date. Nothing uncited reaches the letter.
Approve, edit or reject. Clinical appeals route to a clinician. Nothing is submitted without a human yes.
Corrected claim, attachment, portal or fax, whichever that payer accepts. Then it tracks status until the claim pays or you write it off.
It is a workflow with a state machine. A case cannot skip approval, cannot submit twice, and cannot quietly miss a deadline. The language model does three narrow jobs: classify the denial, retrieve the policy, draft the letter. It never decides to send anything.
No tool touches PHI without one on file.
Single region. No data leaves the United States.
Zero data retention on every model API in the path.
Every record read, every draft produced, every human action, every submission and its proof.
Planned within twelve months of the first paying customer. Not yet held.
Send the denial summary your practice management system already exports for the last ninety days. Four columns are enough: payer, CARC code, count, billed amount.
No patient data. No BAA needed. Nothing identifiable.
You get back which of those denials were winnable, which were already lost, and what the winnable ones were worth. No charge, and no pitch.
Write to malte@appealhound.com.
AppealHound is built by Malte Wagenbach under Vantar Group LLC, a United States company. I have spent the last years building compliance and workflow software for regulated industries in Europe, and I am building this one in the open with a small number of provider groups.
If you run billing for a specialty group and something here is wrong, I would rather hear it now. Write to me directly.