AI-Powered Appeal Generation

Turn Denied Claims Into Recovered Revenue

AI-generated appeal letters with human review at every step. Reduce manual work, submit more appeals, and recover revenue faster.

Human-in-the-loop reviewNo EHR integration requiredFree 90-day pilot
Adjudicus showing an AI-generated appeal draft with confidence score, evidence summary, and missing information flags

Denial Recovery is Broken

Billing teams are overwhelmed. Most denied claims never get appealed because writing appeals is slow, manual, and expensive. Revenue walks out the door every day.

$262B

in denied claims annually in the US

65%

of denied claims are never appealed

~45 min

average time to manually write one appeal

From Denied Claim to Recovered Revenue in Four Steps

A streamlined workflow that turns your denial backlog into submitted appeals.

1

Upload Denied Claims

Import your denied claims via CSV. No EHR integration needed — start in minutes with the data you already have.

Review queue showing imported denied claims with payer, denial reason, and amount
2

AI Generates Appeals

Our AI assembles claim context, analyzes the denial, and generates a structured appeal letter with confidence scores and evidence summaries.

AI-generated appeal draft showing confidence score, appeal letter, evidence summary, and missing documents
3

Human Reviews & Approves

Your billing specialists review, edit, and approve every draft. The AI flags missing documents and low-confidence cases so your team focuses where it matters.

Case detail showing approved appeal draft ready for submission
4

Submit & Track Outcomes

Mark cases as submitted, record outcomes, and track recovered revenue. The system learns from results to improve future appeals.

Analytics dashboard showing total cases, recovered revenue, and confidence scores

See Your Potential Recovery

Estimate how much additional revenue you could recover by appealing more denied claims.

Drag the slider to match your annual denied claims dollar volume.

$100K$500,000$5M

$100,000

Additional Revenue Recovered

525

Staff Hours Saved Per Year

1,000

More Appeals Submitted

Based on recovering 20% more denied claims and reducing appeal writing time by 70%. Individual results vary.

Built for Billing Teams

Every feature designed to help your team review more denials, submit better appeals, and recover more revenue.

AI-Generated Appeals

Structured appeal letters with confidence scores, evidence summaries, and missing document flags. Not a generic template — context-aware drafts tailored to each denial.

Human-in-the-Loop Review

Every appeal is reviewed by your billing specialists before submission. Edit wording, add context, and approve with confidence.

Complete Audit Trail

Every action is logged with timestamps, user attribution, and full version history. Built for compliance from day one.

Real-Time Analytics

Track cases by status, monitor recovery rates, measure team throughput, and identify payer patterns — all in one dashboard.

Simple CSV Import

Upload denied claims from any source. No EHR integration required to start. Validated, normalized, and ready for review in seconds.

Smart Triage Queue

Sort and filter by amount, denial age, payer, and confidence. Focus your team on the highest-value cases first.

Security You Can Trust

Built with healthcare data security in mind from day one. Every feature designed with compliance as a first-class requirement.

Implemented Today

  • JWT authentication with bcrypt
  • Role-based access control (Admin, Staff, Auditor)
  • Immutable audit trail on every action
  • Multi-tenant data isolation
  • Encrypted connections (TLS/HTTPS)
  • Input validation with Pydantic v2

On Our Roadmap

  • Business Associate Agreement (BAA)
  • SOC 2 Type II audit
  • Encryption at rest
  • Third-party penetration testing

Our approach: Every generated appeal requires human review before submission. We store only the data needed for appeal generation, and maintain a complete audit trail of every action taken in the system.

Ready to Recover More Revenue?

Join our 90-day pilot program. Free, no commitment, no credit card. We help you set up and walk through your first appeals together.

Free 90-day pilotNo credit card requiredHands-on onboarding