AppealIQ

AppealIQ

The letter hasn’t been started.

AppealIQ drafts denial-appeal letters for outsourced US RCM teams on multi-client queues. Human review is the default before anything goes out.

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Appeal Editor Draft ready
Client · Ortho book A Reason · Medical necessity Status · Awaiting review

Dear Medical Review,

We respectfully request reconsideration of the denial dated above. Documentation supports medical necessity for the procedure as ordered…

Synthetic demo · not recovered dollars
01

First draft

AppealIQ writes the letter from imported docs and biller notes.

02

Your review

Human review is the default before anything leaves the queue.

03

Your send

Export PDF/DOCX. Send stays outside the product.

What ops already watches

The drafting bottleneck

  1. 01

    Aging pile

    Mid-value denials age while skilled appeal time stays flat.

  2. 02

    Blank page

    Triage is not enough when every appeal still starts as a letter that hasn’t been written.

  3. 03

    Multi-client SLA

    One biller book, many providers — drafting stalls hit every client queue.

Industry context only, not AppealIQ results: Kodiak, $48.4B US hospital denial leakage in 2025 (+25% YoY). We do not publish recovered dollars.

What you get

Built for the multi-client book

Multi-client queue

One co-pilot across the book, not one-hospital theatre. Billers work denials from many providers in a single queue.

Refuse unwinnable

Generate is disabled when rules say don’t — duplicate, max benefits, other. Rules recoverability is source of truth; AI does not override.

Ops board

Open denials, dollars at risk, drafted/exported, overdue. Dollars at risk means denied dollars still open — not money recovered.

Waystar-class suites already ship GenAI appeal drafting. Keep the suite when you need platform breadth; add AppealIQ when multi-client RCM time-to-value matters.

The loop

Four beats. Human export.

What ships today stays human-in-the-loop. Full walkthrough on How it works.

Triage

Rules decide recoverability. Unwinnable stays out of Generate.

AI case analysis

Advisory second opinion. Does not override rules.

Draft

Letter from imported clinical docs plus biller notes.

Human export

Review + PDF/DOCX. Send stays outside the product.

Autopilot / auto-submit is on the roadmap — not shipped. Never “Submitted to payer” as our product.

See How it works

Bring a stalling denial-letter workflow.

Leave with yes or no on a paid US RCM pilot conversation. Synthetic demo. Do not send production PHI.

Book a call How it works Notes