Resource library
Guides, denial codes, payer appeal rules, templates, free tools, comparisons and research for the teams that answer behavioral-health denials: utilization review, billing and RCM, and clinical leadership. Free to read, no account.
7 collections · by the ClaimParrot editorial team · updated
How to read and answer the behavioral-health denials teams see most: medical necessity, level of care, ASAM and LOCUS criteria, continued stay, expedited appeals, prior authorization, CO-50, coding and peer-to-peer review, plus denial notices and a denial management workflow. Each guide lists its primary sources.
Plain-English meanings of the claim adjustment reason codes (CARCs) that appear on behavioral-health remittances, with the usual cause by care setting and the next action.
Appeal levels, filing windows, peer-to-peer options and the criteria each behavioral-health payer says it uses, with a link to the payer's own page and the date we checked it.
Free, editable appeal letters and prep sheets for IOP, PHP, residential, ABA and expedited continued-stay cases. Every template marks what a clinician must write or approve.
Browser tools that need no account and no patient data: look up a denial code, estimate an appeal deadline by plan type, check a denial notice, build a level-of-care criteria crosswalk, request the plan's criteria, check parity warning signs and draft an external-review request.
How ClaimParrot differs from other appeal tools and from a general chatbot, with each product's strengths stated plainly and the date we checked.
Denial, prior-authorization and appeal statistics relevant to behavioral health, where every number links its primary source and date, and vendor surveys are labelled as such.
The appeal letter draft, criteria crosswalk, evidence checklist, peer-to-peer brief and deadline plan, shown on an invented PHP continued-stay denial, plus the checklist a person completes before any packet is released.
Deadlines, rules and code meanings link to the regulation, the regulator or the payer's own page, with the date we checked it.
IOP, PHP, residential, inpatient psychiatric, detox and SUD, outpatient therapy and ABA: the settings where concurrent review and level-of-care disputes concentrate.
We name ASAM, LOCUS, CALOCUS, InterQual, MCG and payer guidelines so you can request them. We never copy their text.
Resource pages are drafted with AI assistance and checked against the sources they cite. They are general information, not legal or medical advice; payer rules change, so confirm deadlines in the notice and the plan documents. Read the editorial policy or learn who runs ClaimParrot.
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