Denial Resolver — denials in, appeals out, automatically.
Upload your CSV of denied claims. AI classifies each one as a resubmission, reconsideration, or write-off. The app then sends payer-specific appeal emails via Gmail for email-contact payers, and shows chat/phone contact cards for the rest. Every action is logged for audit.
The problem this solves.
Appeals never get filed
Industry benchmark: 65% of denials are never reworked. Denied claims become write-offs because the queue grows faster than your team.
Every payer has its own rules
BCBS wants fax. Aetna wants a portal upload. Medicare wants mail. A biller has to memorize 30+ payer contact protocols.
Appeal letters take forever
Writing an appeal per payer, per denial reason, per claim is a full-time job. Your best biller is typing instead of reviewing.
How it works.
CSV in, appeals out. Your biller reviews before anything sends.
- 1
Upload denial CSV
From your PM system, clearinghouse, or remits processed via Remit Reader.
- 2
AI normalizes + classifies
Gemini normalizes each row to a canonical schema (no generated prose — only structured data). Classifies each claim as resubmit, reconsider / appeal, approved, or write off.
- 3
Matches payer contact protocol
Each row’s payer is matched against our curated payer registry (
payers.json). Email-first payers get drafted emails; portal/fax-first payers get a contact card with direct links. - 4
Review, send, audit
Your biller reviews each appeal in a preview table, applies any last edits, clicks send. Emails go through Gmail API with your Workspace account. Everything is logged.
What you get.
AI denial classification
Resubmit, reconsider, approved, write-off — decided by denial reason, claim value, and payer pattern.
Gmail API send
Sends from your Workspace inbox via keyless service-account impersonation. Appears in your Sent folder.
Payer-specific templates
Curated, editable templates per payer. Knows which payer wants fax vs portal vs email.
Automation rules
Auto-send for low-risk denials, flag for review for complex ones. You stay in control.
Full audit log
Every classification, edit, and send logged with timestamp and user — for HIPAA and internal audit.
HIPAA + BAA
AI is used for CSV normalization only — no free-text generation with PHI. Values copied verbatim.
Denial Resolver pricing.
$49/mo for unlimited use of just this app, or fold it into a custom Enterprise plan.
Want our team to handle billing instead? See the done-for-you billing service.
Per-App
- Unlimited denials classified + appeals sent
- Up to 2 providers
- Email support
- Month-to-month, cancel anytime
- HIPAA compliant • BAA included
Enterprise
- All apps + Denial Resolver
- Unlimited providers & locations
- Custom EHR integrations & rules
- SSO, SOC 2, 24/7 support
- Built around your workflow
Denial Resolver FAQ
Does the AI actually write the appeal letter, or does it just pick a template?
Template-based today. The AI classifies the denial and picks the correct payer-specific template; it fills in claim values verbatim from your CSV. No LLM-generated prose touches PHI — that’s a deliberate safety choice. AI-assisted custom drafting is on the roadmap for Growth and Enterprise customers who opt in.
How do appeals go out through my Gmail?
We use Google Workspace domain-wide delegation to send from a biller’s Workspace account. No user passwords are stored. Appeals appear in your biller’s Sent folder like any other email they sent. Personal Gmail accounts (non-Workspace) aren’t supported.
What about payers that don’t accept email appeals?
Those payers show up as contact cards in your queue instead of email-send buttons — with direct links to the payer’s appeal portal, their fax number, and the specific form they require. Your biller still has to file it, but the research is already done.
Can rules auto-send without human review?
Yes — but only the rules you configure. Common ones: auto-send low-dollar Medicare timely-filing appeals, auto-resubmit claims with specific correctable errors. Anything not matching a rule stays queued for human review. Every auto-send is logged for audit.
Related apps
Clear your denial queue.
Bring a CSV of your 30 oldest denials. We’ll run them through Denial Resolver live and show you how many get resolved today.
Book a Demo