Feature · Denials & appeals

Stop triaging denials. Start recovering them.

MedIQ ingests CARC/RARC codes, groups by reason and payer, ranks by recoverable dollars, and drafts an appeal letter your biller can review in minutes — not hours.

Appeal letters in seconds

Drafted by AI. Approved by you.

Provide the claim, the denial reason, and the supporting documentation; the generator returns a payer-shaped letter with the right tone, the right citations, and a tracked revision history.

  • Per-tenant model — Claude, GPT, Gemini, or Llama
  • No PHI in prompts — de-identified before transmission
  • Letter versions tracked with diffs
  • Sent letters auto-attach to the claim's audit log
Appeal letter · auto-drafted
streaming
The denial workspace

Everything a denials team needs in one screen.

CARC/RARC normalization

All denial reasons mapped to a clean taxonomy your team can actually queue on.

Recoverable-dollar ranking

Tackle the $24,300 appeal before the $87 write-off.

Reason-based routing

Send timely-filing to one queue, medical-necessity to another.

Letter templates

Start from a payer-specific template, then let AI fill in the specifics.

Internal collaboration

Comment threads on each appeal, with mentions and read receipts.

Outcome tracking

Win/loss by reason, payer, and biller — close the loop on what works.

Recover the revenue you've already earned.

Pilot the appeals workflow against your top three denial reasons. We'll measure together.