What You Get With Each Offer
AppealHound has three offers. A phone agent for practices, denial appeals for practices and billing companies, and appeal kits for device makers. Here is what each one includes. We name the cost on the first call.
Two Packages for the Phone
Start with your missed calls. Move to every call when you are ready. Each package is for one location. How the phone agent works
We Do the Detective Work on Each Denial
For practices and for billing companies that bill for practices. It starts with a free review of 90 days of denials. If the numbers hold up, we agree terms with you after the review.
- A free denial review first. Four columns from an export you already have: payer, denial code, count and billed amount. You get one page back: what is winnable, what is lost and what needs a clinician.
- Remits read for you. Your 835 files become one case for each denial.
- The payer rule, found. Each case opens with the rule the payer used and a citation you can open. Where we do not have the rule yet, we say so.
- The appeal, prepared. Written from that rule. Your person edits, approves or writes it off, and large appeals go to a manager.
- Deadlines first. Every denial is ranked by dollars and by days left to file.
- Reports and a full log. Recovered, in flight and written off, per client and per payer. Every action is logged with who did it. Invite your whole team.
One Appeal for Each Payer That Denies Your Device
Start with one denial, free: payer, code and the denial reason, no patient data. The appeal kit has a flat fee, named on the first call. It never depends on what is recovered.
- One denial first, free. Send the payer, the code and the denial reason. The draft appeal comes back within 24 hours.
- One letter per denying payer. Written from that payer's current policy, the evidence it cites and the FDA authorization.
- Every citation checked. Each cited line is compared with the passage it cites before the letter leaves.
- The request ladder built in. Reconsideration, then peer-to-peer, then a benefit exception, then external review under state law.
- The coverage map. Each payer's stance on your code, and the payers we could not verify.
- Re-issued when a policy changes. A new letter when the payer's text moves, with the date it moved.
- For the offices. Plain text and PDF per payer, and sign-in access for the office. The office fills in the patient, approves and sends.
How You Start
Each offer has a free first step.
- 1Phone agentCall the demo line on (704) 899-3776 and ask it what your patients ask. Then a 15-minute setup call.
- 2Denial appealsUpload 90 days of denials in 4 columns. No patient data. One page comes back.
- 3Appeal kitSend one denial: payer, code and the denial reason. The draft comes back within 24 hours.
Your Questions Answered
What does it cost?
We name the cost on the first call, for the offer you want. The phone agent is a monthly package, month to month. Denial appeals start with a free review, and we agree terms with you after it. The appeal kit has a flat fee that never depends on what is recovered.
What happens when we use more minutes than the package includes?
The agent keeps answering. Extra minutes are billed on your next invoice. You get an email when you are close to the included minutes, and another when they are used up.
How are phone minutes counted?
Each call counts up to the next full minute, like a phone bill. Time a caller spends with your front desk after a transfer does not count. Calls that come in while you have paused the line do not count either.
Can we stop the phone agent?
Yes, any month. Your main number stays yours the whole time. To stop, you switch the call forwarding off.
Do practices and billing companies get the same appeals product?
Yes. A billing company runs it per client, and the reports show each client and each payer apart. Both start with the free review.
Who sends the appeals?
Your people, for denial appeals. The physician office, for the appeal kit. Nothing goes to a payer until a person approves it.
Do we need to send patient data to start?
No. The free denial review takes 4 aggregate columns, and the one-denial run takes payer, code and the denial reason. Patient data comes in only on a customer account under a signed BAA.
Tell Us What You Need. We Name the Cost on the First Call.
One email is enough. Say which offer you want and for how many locations or clients.