We use AI to fight back. Turn your "Dead Pile" of denials into legal appeal letters in seconds.
"Pursuant to UHC Guideline 42.1, the denial for CPT 99213 is invalid. The attached chart note explicitly documents symptoms matching Policy Section C..."
Insurers have created an information asymmetry. They use bots to reject you instantly. They
force you to use fax machines and manual letters to respond.
It's designed to be so annoying that you just give up.
Upload your denial letter (PDF) and the patient chart note. No EHR integration required.
Our engine pulls the 2024 Policy Bulletin for that specific payer and finds the clause that validates your claim.
The AI drafts a robust, legally cited appeal letter citing the exact policy precedents. You just sign and fax.
Handle massive Explanation of Benefits tables. We extract line items, remark codes, and adjustments instantly.
Support for PDFs, JPEGs, and even low-quality fax scans. If a human can read it, our AI can read it.
We have indexed policies for UHC, Aetna, Cigna, BCBS, and Medicare. All 50 states supported.
We don't just summarize; we argue. The AI constructs logical proofs using the payer's own words against them.
Upload a ZIP file of 50 denials. We automatically rotate, sort, and categorize them by Payer and Denial Code.
Everything else you need to make your revenue cycle compliant.
Your trust is our foundation. Clausea is designed with a deep commitment to data privacy and security. Visit our trust page and security center to learn more.
Give us your "Dead Pile" from last month.
If we don't help you generate a valid appeal, you don't
pay.
Pays for itself with 2 recovered claims.
For aggressive practices.
Want a custom audit using your own data? Book a 15-min demo.