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Health system or health plan
Appeals Drafting Agent
Turns a denial reason code and the clinical record into a payer-ready appeal letter in minutes.
<div class="hx-demo-box" style="margin-top:40px;border:1px solid #D2D2CA;border-radius:12px;overflow:hidden;background:#fff;box-shadow:0 12px 32px -12px rgba(23,25,21,.18)"><div style="background:#F7F7F3;border-bottom:1px solid #D2D2CA;padding:10px 20px;display:flex;align-items:center;gap:10px"><span style="width:11px;height:11px;border-radius:50%;background:#E4E4DE"></span><span style="width:11px;height:11px;border-radius:50%;background:#E4E4DE"></span><span style="width:11px;height:11px;border-radius:50%;background:#E4E4DE"></span><span style="font-size:12px;color:#8B9086;margin-left:6px">denials.local/appeal/draft-{{ caseNum }}</span></div><div style="display:flex"><div style="flex:0 0 280px;border-right:1px solid #E4E4DE;padding:20px;background:#FAFAF7"><div style="font-size:11px;letter-spacing:0.06em;text-transform:uppercase;color:#8B9086;margin-bottom:12px;font-weight:600">Denial detail</div><div style="display:flex;flex-direction:column;gap:10px;font-size:13px;color:#171915"><div style="display:flex;justify-content:space-between"><span style="color:#8B9086">Payer</span><span>UnitedHealthcare</span></div><div style="display:flex;justify-content:space-between"><span style="color:#8B9086">Reason code</span><span>CO-50</span></div><div style="display:flex;justify-content:space-between"><span style="color:#8B9086">CPT</span><span>27447</span></div><div style="display:flex;justify-content:space-between"><span style="color:#8B9086">Reason</span><span>Not medically necessary</span></div></div></div><div style="flex:1;padding:20px 24px;display:flex;flex-direction:column;align-items:center;justify-content:center;min-height:220px"><sc-if value="{{ isScanning }}"><div style="font-size:14px;color:#8B9086;animation:fadeUp .3s ease both">Matching clinical documentation against payer policy language...</div></sc-if><sc-if value="{{ isDone }}"><div style="width:100%;max-width:420px;background:#FAFAF7;border-radius:8px;padding:18px 20px;animation:pop .4s ease both;font-size:13px;line-height:1.6;color:#171915"><div style="font-weight:700;margin-bottom:8px">Re: Appeal of claim denial, case #{{ caseNum }}</div><div>Per policy 4.12, total knee arthroplasty is medically necessary given documented Kellgren-Lawrence grade 4 osteoarthritis and failure of 6 months of conservative treatment, as recorded in the attached progress notes dated...</div></div></sc-if></div></div></div>
window.HX_DEMOS=window.HX_DEMOS||{};
window.HX_DEMOS["app"]=function(Base){
const CYCLE_SEC=9;
class Comp_app extends Base {
state={t:0,caseNum:5104,name:'',email:'',org:'',formSubmitted:false};
componentDidMount(){
this._start=Date.now();
this._iv=setInterval(()=>{
if((Date.now()-this._start)/1000>=CYCLE_SEC){clearInterval(this._iv);return;}
const elapsed=(Date.now()-this._start)/1000;
const t=elapsed%CYCLE_SEC;
const cycle=Math.floor(elapsed/CYCLE_SEC);
this.setState({t,caseNum:5104+cycle});
},150);
}
componentWillUnmount(){clearInterval(this._iv);}
onName=(e)=>this.setState({name:e.currentTarget.value});
onEmail=(e)=>this.setState({email:e.currentTarget.value});
onOrg=(e)=>this.setState({org:e.currentTarget.value});
submit=()=>this.setState({formSubmitted:true});
renderVals(){
const scanning=this.state.t<4;
return {caseNum:this.state.caseNum,stageLabel:scanning?'Drafting...':'Draft ready',isScanning:scanning,isDone:!scanning,
name:this.state.name,onName:this.onName,email:this.state.email,onEmail:this.onEmail,org:this.state.org,onOrg:this.onOrg,submit:this.submit,
formOpen:!this.state.formSubmitted,formSubmitted:this.state.formSubmitted,nameSuffix:this.state.name?', '+this.state.name.split(' ')[0]:''};
}
}
return Comp_app;
};
Draft one of your own appeals →
Free to start. No credit card.
How the Appeals Drafting Agent works
1
Reads the denial
Reads the denial
Pulls the denial reason code and the clinical documentation tied to the claim.
2
Matches payer policy
Matches payer policy
Cross-references the denial against payer-specific medical necessity or coding policy.
3
Drafts the appeal
Drafts the appeal
Writes a payer-ready appeal letter citing the specific clinical evidence and policy language.
4
Step label
Routes for sign-off
Sends the draft to the appeals coordinator for review and submission.
5
Step label
12 min
to draft a payer-ready appeal, versus 2 hours
100%
of letters cite the specific payer policy clause
48 hrs
faster turnaround inside the appeal window
Stop drafting appeals from scratch.
Start free, we'll draft a batch of your real appeals so you can see the quality.
✓
Cites the exact policy clause behind every argument
✓
Lives inside your existing denial management workflow
✓
Free for your first 20 appeals, no credit card
Starts free
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