AppealHoundBy Vantar Group
Legal

Terms

Who you are contracting with

AppealHound is a product of Vantar Group LLC, 30 N Gould St Ste N, Sheridan, WY 82801, United States.

What the service does

We read your denial data, look up the payer rule behind each denial where we have it, show you which denials keep coming back, tell you which ones are worth appealing, and prepare the appeal. Where you ask us to, we also submit it. Every submission is approved by one of your own people first. That is not a setting you can switch off, because it is the thing that makes the rest defensible.

Fees

The free denial review costs nothing and commits you to nothing. Fees for any paid work are agreed with you in writing, in your order form, before that work starts. Nothing on this website is a price offer.

Automation on your behalf

Some of the work happens in a web browser, because several payers only accept appeals through a portal and offer no other route. This section says exactly how that works.

You sign in. We never ask for your password.

When a portal needs a login, we show you that portal in a browser window inside AppealHound and you sign in yourself, including any second factor. We do not ask you to type a payer password into an AppealHound form, we do not store payer passwords, and we do not have a copy of one to lose. If anyone ever asks you for a payer password on our behalf, it is not us.

What we do hold afterwards

Once you have signed in, the browser stays signed in so the work can continue without interrupting you again. That signed-in session is held by us, in infrastructure covered by our vendor agreements, for as long as the payer keeps it alive or until you end it. That is a real thing we hold, and this paragraph exists so you know it rather than discover it.

You can end every active session from Settings at any time, and we end them automatically when your account closes.

It acts in your name, and we log all of it

Work done in a portal is done under your practice's own credentials, which means the payer's records will show your practice. That is the correct outcome: it is your appeal. It also means we owe you a complete record of what was done in your name, so every action is written to an audit log you can read and export in full. That log is append-only. We cannot edit it after the fact, and neither can you.

What it never does without a person

Where it runs

Automation runs on browser infrastructure we contract for, not on your computers. Our vendors for this are bound by agreements covering health data, and we will name the current vendor on request. We do not install anything on your machines.

What we ask of you

Your agreements with your payers and your clearinghouse are yours, and some of them restrict automated access or the sharing of credentials. We will not ask you to breach one. Before we automate a portal for you we will tell you which portal and what we intend to do in it, so you can check it against your own agreement. If a payer objects, we stop with that payer.

Patient data

We handle protected health information only under a signed Business Associate Agreement, and only the minimum needed for the work. The free denial review before you become a customer takes aggregate rows only: payer, reason code, count and billed amount. No names, no member identifiers, no dates of birth, no dates of service. The tool refuses a file containing them rather than stripping them, so a mistake is visible instead of silent.

See Privacy for the detail.

What we do not promise

We do not promise that an appeal will be paid. We do not promise a recovery rate. Where we show a likelihood of winning, we say whether it is our own reading of the code or a figure measured from outcomes we have actually seen, and until there is a real sample it is the former and labelled so.

We are not a law firm and this is not legal advice. Decisions about what to appeal and what to write off are yours.

Your data is yours

You can export your data at any time, including the complete audit log. If you leave, we delete your data on request and confirm when it is done. We do not use your data to train models for anyone else.

Ending the agreement

Either side can end it with notice. We will not hold your data hostage to keep you, and we will help you get it out.

Changes

If we change what the automation does, we will say so here and tell you before it takes effect. A change to the automation section is not something we will slip into a version bump.

Questions

Ask a person: malte@appealhound.com.