Built for physician practices & clinical revenue teams

Your payer denied it. The data says appeal it.

Intelli-HealthCare reads the 835 remittance files your clearinghouse already sends, finds the denials worth fighting, and drafts evidence-cited appeals your own staff approves — then spots each recovery automatically when the payer finally pays.

+ BAA before any PHI moves + A clinician-named sign-off on every letter + No EHR integration · 835s only + $0 upfront — 15% of recoveries
Denied · June 15−$3,300
"Not medically necessary."

CARC 50 — flagged appealable, 62% overturn odds, EV $2,046.

Appealed · June 18letter v1
Evidence-cited letter, human-approved

Drafted by the engine, signed off by a named person on your staff.

Illustrative example · every step is read from the remittance files themselves
UnitedHealthcare Cigna. BlueCross BlueShield Humana. aetna MEDICARE ADVANTAGE TRICARE Commercial PPO · HMO UnitedHealthcare Cigna. BlueCross BlueShield Humana. aetna MEDICARE ADVANTAGE TRICARE Commercial PPO · HMO
Processes denials from any payer that issues an 835 remittance — names shown for identification only; no partnership implied.
The uncomfortable math

Payers count on you not appealing.

0%

of appealed MA denials are overturned¹

The odds favor whoever shows up. Most practices never do.

0%

of denials are never appealed at all¹

The letter costs an hour nobody has — so the payer keeps the money by default.

0%

of recovered dollars is our only fee

Free 48-hour analysis first. $0 upfront. No recovery, no invoice.

¹ Overturn and appeal-rate figures as reported for Medicare Advantage (CMS/KFF); results vary by payer and case mix.

Try the math on your numbers

What are your denials actually worth?

Model your monthly denial exposure

Denied dollars per month$40,000
Share worth fighting (appealable)70%
Assumed overturn rate50%

Preloaded with conservative mid-range assumptions — drag to match your book.

Estimated recovered / month$14,000
Our fee (15% of recoveries)$2,100
Back to your practice / year$142,800
See your real number — free, in 48 hours

Directional planning figures, not a guarantee — actual recovery depends on payer mix, denial categories, and documentation. The free analysis replaces these sliders with your actual 835 data.

End to end

Denied isn't final. It's a queue.

Read

Every 835 line your clearinghouse already sends. No EHR project, no IT ticket.

Translate

Denial codes become plain-English reasons your team can act on.

Rank

By expected value — overturn odds × dollars, minus the cost of working it.

Human gate

Appeal

Evidence-cited letters. Nothing files without a named person's sign-off.

Recover

Wins matched automatically from the next remittance — nobody types "we won."

Payer intelligence

Every outcome makes the next appeal smarter.

Overturn odds aren't guesses — they're calibrated per payer and denial reason from recorded outcomes, and every win or loss sharpens the next ranking. Your appeal queue literally gets better at your payers the longer it runs.

The full analytics — payer scorecards, denial mix, recovery funnel — live in the platform itself.

Live from the platformSynthetic data
Overturn odds — BCBS · authorization denials
Seed estimate · no outcomes yet
52%
0%watching outcomes…100%
Where the money is
Denied dollars by payer · expected recovery overlay
CIGNA PPO$14,255
UNITEDHEALTHCARE$10,470
BCBS OF TEXAS$7,450
Synthetic sample book — a guided walkthrough shows these views live, ranked and clickable.
90 seconds, start to finish

Watch a denial become a recovery.

Straight answers

The questions every administrator asks

What do you need from us to start?
One 835 export from your clearinghouse or practice-management system — the last 90 days is ideal. That's it. You get a client-ready denial analysis back within 48 business hours, free, and it's yours either way.
Do you touch our EHR?
No. We work entirely from remittance files. There's no integration project, no API keys, and no vendor security review of your EHR — a BAA is in place before any real file moves.
Who signs the appeal letters?
Your people. The engine drafts an evidence-cited letter and runs safety checks; a named person on your staff reviews, edits, and approves before anything is filed. No letter leaves without a human sign-off.
What does it cost?
15% of what's actually recovered — that's the whole model. $0 upfront, no subscription, no per-letter charges. If nothing comes back, you owe nothing.

Find out what you're owed before you decide anything.

Send one 835 export. Get a ranked, client-ready denial analysis back in 48 business hours — free, and yours to keep even if we never speak again.

Request the free 48-hour analysis Or see it live first: app.intelli-healthcare.com ↗ · synthetic data only, no PHI