Billing companies: the free denial review continues below. Device makers: start here.
We Work the Denials You Write Off Today
A practice writes off its small denials. You write them off for 30 practices at once.
We take the detective work. AppealHound looks up the payer rule behind each denial, shows which denials repeat by payer and CARC code, and prepares the appeal. Your specialist approves every one. Start with a review of one client's denials: 4 aggregate columns, no patient data.
See the client queue- No patient data
- No BAA
- No charge
- No pitch
A $180 denial costs $18 to work. That is the whole problem.
What it costs today. 45 minutes to read the remit, find the rule and write the letter. About $18 before overhead, on a claim that may not be won. So the small ones wait.
What changes. The case opens with the payer rule found and the repeats flagged. Your specialist approves the appeal, fixes it or writes it off.
Median wage for medical records specialists was $51,140 in May 2025, about $24.59 an hour. US Bureau of Labor Statistics. Overhead and benefits are on top, so $18 is the floor rather than the figure.
5 Steps. Your Person Owns the Last Two.
The slow part is the detective work, not the letter. That is the part we take.
- 1Read the remittanceThe 835 is parsed as X12, not guessed by a model. One denial, one case.
- 2Find the payer ruleWe look up the rule the payer used and group repeats by payer and CARC code. If we do not have the rule yet, we say so.
- 3Prepare the appealWith the rule and a citation you can open. An appeal that cites anything else is rejected.
- 4Your person approvesEdit, approve or write off. Over $5,000 goes to a manager.
- 5Your person sends itOn your rail and your letterhead. The proof is saved on the case.
An appeal that cites the rule it relies on.
Every one of those steps writes an audit row that cannot be edited or deleted, naming who did it and whether a record was read.
… the determination covers stimulation for disuse atrophy where the nerve supply is intact, and names hip replacement among its examples 1. The operative note records a total hip replacement and the therapy plan documents quadriceps atrophy 2. On that basis we ask you to reprocess the claim.
[1] NCD 160.12, Neuromuscular Electrical
Stimulation. Effective 10/01/2006.
cms.gov
[2] Operative note and therapy plan, attached by the practice.
Example. A citation outside this list rejects the appeal.
Three Things a Firm Your Size Needs
4 aggregate columns. No patient data, so no agreement to sign first. Or email us first.
Volume is the point
A $180 denial takes the same detective work as an $1,800 one, unless the rule is already found.
Your rails, your rules
Your letterhead, your timelines. Nothing goes out until your people approve it.
Per client, per payer
Recovered, in flight and written off, with the win rate behind each.
How You Start
Start with a free review of one client's denials. If the numbers hold up, we agree terms with you after the review. No subscription to sign up front.
Run a free review on one clientQuestions first? Email us.
- A free review of one client's denials first
- Terms agreed with you after the review
- No subscription to sign up front
- Your specialist approves every appeal
Find the Denials You Wrote Off That You Can Still Win
Run a free review on one client.
One client, 90 days, 4 aggregate columns. You get back what is winnable, what it is worth, and what keeps coming back.
Rather talk first? Email us.
Your Questions Answered
What do you need for the review?
One client, 90 days, 4 aggregate columns: payer, denial code, count and billed amount. No patient data, so no agreement to sign first.
What does it cost?
Start with a free review of one client's denials. If the numbers hold up, we agree terms with you after the review. No subscription to sign up front.
Who approves and sends the appeal?
Your person. Edit, approve or write off; over $5,000 goes to a manager. Your person sends it on your rail and your letterhead, and the proof is saved on the case.
How do you find the payer rule?
For Medicare, from CMS national coverage policy. For commercial payers, from the payer's own published policy where we have it. We have that for a few payers so far, and we tell you when we do not. Every rule we cite links to its source.
Can we start with one client?
Yes. Run the free review on one client first. If the numbers hold up, we agree terms for that client and start there. Email us if you want to talk first.
Can I run reviews for several clients?
Yes, one client per review. Name the client, not your firm, because that name goes at the top of the report.
Can my whole team use it?
Yes. Invite your team. Appeals over $5,000 go to a manager for approval, and every action is logged with who did it.
The 835 files contain PHI. How do you handle that?
A customer account runs under a Business Associate Agreement. Only model APIs with zero data retention see patient data. Policy search sees only public CMS text and the draft before any patient detail is merged in. Security and data.
Does it track timely filing?
Yes. Every denial is ranked by dollars and by days left to file, so the ones about to expire come first.
Can we try it on real work before we pay?
Yes. The free review of one client's denials comes first and costs nothing. If the numbers hold up, we agree terms with you after the review.
Does it work for commercial payers, or only Medicare?
The review works for any payer, because it reads the denial code. For Medicare we cite CMS national coverage policy. For commercial payers we look up the payer's published policy where we have it, and we say so when we do not. We do not cite local coverage (LCD) policies yet.
How long until we are live?
Under an hour of your time once the BAA is signed. Your team sets up two-step sign-in, adds your payers and their appeal windows, and uploads one 835. The first cases come from that file. The free review needs none of this.
How long is the contract?
We agree the terms with you after the free review and put them in writing before any work starts. There is no subscription to sign up front.
Can the review report carry our brand?
Not yet. The report shows your client's name at the top and AppealHound in the footer. You can save it as a PDF from your browser.
Which PM systems does it work with?
Any system or clearinghouse that gives you the 835 (ERA) file, and most do. There is no direct integration yet. The free review takes a CSV export.