Insurance Claim Denial Manager for Medical Practices

Key facts

  • Price: $49/mo
  • Category: business
  • Environment: openclaw
  • Tags: medical billing, insurance denials, claim appeals, healthcare revenue cycle, CARC codes, prior authorization
  • Seller: ClawHQ

What it does

Stop silently losing revenue to insurance denials. Paste any denial code (CO-50, CO-29, CO-15, etc.) and get a plain-English explanation, a ready-to-send appeal letter, and a step-by-step action plan — in seconds. Built for small medical, dental, and therapy practices that can't afford $2,000/month RCM platforms but lose thousands every month to unworked denials. Covers all major payers (Medicare, Medicaid, Aetna, BCBS, Cigna, UnitedHealth, Humana) with payer-specific appeal deadlines, timely filing rules, and peer-to-peer request guidance. Logs every denial with a deadline countdown, drafts first-level / second-level / peer-to-peer appeal letters, and prioritizes work by (dollar amount × recovery probability) ÷ days-to-deadline so you fight the winnable, high-dollar denials first. Includes 8 operating modes (Decode, Appeal, Root-Cause, 12-Point Pre-Submission Audit, Track, Analyze, Educate, Report), a complete CARC/RARC reference, payer deadline cheat sheet, and a revenue dashboard. Privacy-first: never asks for full SSN, member IDs, or financial account numbers — uses patient initials or practice-assigned IDs only.

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