Problem Statement

A denied claim only becomes recoverable revenue if someone assembles the appeal and submits it before the filing deadline. Doing this manually means pulling the appeal letter and supporting documentation together, logging into the payer portal, and keying the submission for each denial - slow, repetitive work that backlogs easily. While appeals sit unsubmitted, denials age toward the appeal deadline, and any that miss the window become permanent write-offs on revenue the organization had every right to recover.

Automation Solution

This automation gathers appeal letters and supporting documentation and submits them to the payer via Availity to overturn denied claims.