AppealsPlus™
A cloud-based solution that automates denial identification, streamlines appeal workflows, and delivers real-time insights.
A robust set of features
Workflow and business intelligence improvement in identifying and appealing underpaid and denied claims.
Intelligent Denial Routing
Automatically analyzes ERAs and applies custom rules to flag denials and underpayments, routing them into smart work queues for fast resolution.
Visual Workflow Management
Track appeal and denial progress in real time with interactive KANBAN boards, detailed denial cards, and status-based queue views.
Built-In Document Automation
Generate appeal letters, cover sheets, and interactive PDF payer forms with pre-filled data to eliminate manual entry and reduce errors.
Real-Time Productivity & KPI Insights
Monitor user performance, workflow efficiency, and key denial trends with intuitive dashboards, charts, and filters.
Robust Reporting & Analytics
Quickly generate Excel-based reports on claims, denials, and appeals, and dive deep with customizable denial breakdowns by code, group, or user.
Revenue Vitals & Terminology Tools
Get a full diagnostic scan of your revenue cycle and leverage our CARC & RARC library to align with payer-specific language.
How we help
We understand that managing denied and underpaid claims can be a complex and time-consuming task. Our solution streamlines and automates the entire process, offering real-time data, customizable workflows, and key insights to ensure your team operates at its most efficient.
Efficient denial management
Automate claim categorization and resolution with customizable workflows and real-time processing, helping you resolve issues faster.
Data-driven insights
Monitor KPIs and productivity with interactive dashboards, enabling informed decision-making for quicker claim resolution.
Results You Can Expect
With automated work queues, real-time denial insights, and integrated appeal generation, AppealsPlus helps you recover more revenue with less manual effort.
Organizations using AppealsPlus experience faster turnaround times, increased appeal success rates, and greater visibility into payer behavior—so you can take control of your underpayments and stop revenue from slipping through the cracks.
99%
Rate
Ready to improve your denial management?
Experience the power of AppealsPlus™ and start accelerating your payment collection today.
Resources
Explore a collection of practical tools, training materials, worksheets, and interactive games designed to support compliance, enhance communication strategies, and improve staff education across your organization.
Industries
Hospital Systems
AppealsPlus™ simplifies the complex process of managing underpaid and denied claims, enabling hospital systems to reduce administrative overhead. By automatically categorizing denials and streamlining appeals through KANBAN boards, your team can focus on the most critical issues, accelerating resolution and improving cash flow.
Medical Billing Companies
We enhance billing companies’ ability to manage multiple accounts with ease. The automated denial identification and customizable workflows allow for quicker resolution times, helping clients receive payments faster while improving overall productivity.
Long-Term Care Pharmacies
Streamline your denial management process by offering real-time insights and automated workflows. This solution helps pharmacies reduce delays, resolve claim issues faster, and stay compliant with payer requirements, leading to improved reimbursement rates.
Commercial Companies
Recover short-pays and resolve disputes faster with queue-based workflows, templated outreach, and analytics that prioritize high-value recoveries—shortening cycle time and protecting margin.
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Frequently asked questions
Got questions? We're here to help. Below you'll find answers to some of the most common inquiries about AppealsPlus™ and how it can streamline your denial and underpayment management.
What is AppealsPlus™?
AppealsPlus™ is a cloud-based solution designed to automate the denial management process, enabling healthcare organizations to resolve underpaid and denied claims quickly and efficiently.
Can I customize the denial workflow?
Yes, AppealsPlus™ offers customizable denial assignment logic and multiple workflow views, including the KANBAN boards, which you can tailor to your organization’s needs.
How does the CARC & RARC Library work?
The CARC & RARC library lets you use the specific terminology preferred by your organization or payer, ensuring consistency and clarity across all communication.
Can I connect AppealsPlus™ with my current systems?
Absolutely! AppealsPlus™ is clearinghouse agnostic and integrates seamlessly with most practice management systems and hospital information systems.