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Appeal packets, drafted by software

Send us the denial. Get the appeal packet back.

For solo clinicians, behavioral-health programs and billing teams without hours to spend on appeal letters. Send one de-identified denial and the ClaimParrot packet engine builds an editable appeal letter, an evidence checklist and a deadline plan within 3 business days, checked by a person before it reaches you.

Send a denialSee pricing

First packet free. No patient data. Your clinician signs and submits.

In every packet

  1. 01Appeal letterA Word file, written to the payer's stated reason; save it as a PDF if the plan wants one
  2. 02Evidence checklistWhich records to attach, and what each one proves
  3. 03Deadline planInternal appeal, second level, external review
  4. 04Criteria crosswalkLevel-of-care packets: factor by factor
  5. 05Peer-to-peer briefLevel-of-care packets: talking points

Dear [Reviewer name], we appeal the determination for [Member name], ID [Member ID], dated [Date]...

See a sample packetDownload a fictional sample packet (PDF, 550 KB)

Pricing

Pay per packet. The first one is free.

Appeal packet

Medical-necessity, prior-authorization, coding and benefit denials, including outpatient therapy, psychiatry and ABA.

$29per packet

  • Appeal letter draft built on the payer's stated reason, with bracketed placeholders
  • Evidence checklist: the records to attach and why each one matters
  • Deadline and escalation plan: internal appeal, second level, external review
  • Delivered within 3 business days
Send a denial

Level-of-care packet

Level-of-care or continued-stay denials in IOP, PHP, residential, inpatient or detox programs.

$99per packet

  • Everything in the appeal packet
  • Criteria crosswalk: each level-of-care factor mapped to the evidence you have, partly have, or lack
  • Peer-to-peer prep brief: talking points and the reviewer's likely questions
  • Delivered within 3 business days
Send a denial

Appeal Desk 10

Programs with level-of-care denials every week.

$590per month

  • 10 packets a month, any type ($59 each)
  • Delivered within 2 business days
  • Costs less than paying per packet once 5 of the 10 are level-of-care packets
  • Appeal Desk 25: $1,290 a month for 25 packets
  • Paid monthly in advance; renews until you cancel, and you can cancel anytime
Request an invoice

Opens an email to sales@claimparrot.com. The invoice comes from Paddle.

Billing companies

White-label packets for your clients, at wholesale.

$19 / $69per packet

  • $19 a standard packet, $69 a level-of-care packet
  • Your first 5 packets are free
  • Invoiced monthly for packets delivered
Write to sales

Opens an email to sales@claimparrot.com.

The clock starts the day your complete request arrives and counts US business days; the packet is due by 5 p.m. Eastern on the last day. Need it faster? Expedited delivery within 1 business day adds $40, including on a free first packet. A payer's 72-hour expedited window, or a peer-to-peer call set for tomorrow, is shorter than any delivery option. File the expedited appeal or book the call with the payer first, then choose 1 business day delivery (+$40) for the brief and the written appeal.

You are invoiced monthly for packets delivered, you don't pay for a packet you can't use, and every payment can be refunded in full within 30 days. Prices in USD; Paddle.com, our Merchant of Record, adds sales tax or VAT where it applies. See the refund policy.

How it works

From the denial notice to a packet your clinician reviews and signs.

  1. 01

    Send one denial

    From your ClaimParrot account or the form below: the payer's reason and a de-identified clinical summary. About 5 to 10 minutes, no files, no patient details.

  2. 02

    ClaimParrot builds the packet

    The packet engine routes the denial by care setting, review stage and payer and drafts the packet; a person checks it against the payer's reason before it is delivered to you.

  3. 03

    Your team finishes it

    Fill the bracketed placeholders, attach the records on the checklist, and have your clinician review, sign and submit. Nothing goes to the payer from us.

  4. 04

    Tell us what happened

    Share the outcome. If the payer upholds the denial, the deadline plan already names the next level, and the next packet starts from this one.

What to send

Enough to argue the case. Nothing that identifies the patient.

Send

  • The payer and plan type, care setting and review stage
  • The denial rationale, copied from the notice
  • The criteria the payer cited, if any
  • Diagnoses, scores, risk, impairment and treatment history
  • Relative timing: day 3, two weeks ago, after the second admission

Keep at the practice

  • Names, member, claim or record numbers
  • Dates of birth and calendar dates
  • Addresses, phone numbers and email addresses
  • The notice itself and the medical records
  • Anything else that could identify the patient

Send a denial

One denial, 11 answers.

Most are taps. The packet comes to your work email within 3 business days (1 business day if you choose expedited).

11 required answers, most of them taps. With the notice open, plan on 5 to 10 minutes; the two text boxes take most of it. Optional questions are marked and can be skipped.

Behavioral-health denials only: mental health, substance use and ABA. Not medical-surgical, dental, pharmacy or property-and-casualty claims.

Required answers: 0 of 11Packet in 3 business days · first one free
1 of 4 · About you
2 of 4 · The denial

0 of 12 characters minimum

Deadline and appeal level (optional)

Already appealed once and lost? Pick the next level.

Count calendar days from today to the appeal deadline on the notice. If it says “180 days from the date of this notice”, take off the days already gone. We count from the day you send this. Work it out with the deadline calculator.

3 of 4 · The clinical picture, de-identified

0 of 80 characters minimum

More detail (optional)Criteria the payer cited, peer-to-peer, prior appeals, records you have or lack
4 of 4 · Turnaround and send

Business days count from the day you send this; the packet is due by 5 pm Eastern. On an Appeal Desk plan it's 2 business days.

Choose the care setting and denial type to see the price. Your first packet is free.

0 of 11 required answers done

A person reads every request and replies; not an autoresponder. By sending, you agree to the Terms and Privacy Policy.

An email with your request reference follows as soon as the request arrives. Questions first? Write to hello@claimparrot.com, without patient details.

Before release, a person checks every packet against a published release checklist. It is a quality check, not clinical review: your clinician reviews and signs.

How requests are stored, who processes them and when they are deleted: Trust & security.

Questions

Before you send a denial.

The ClaimParrot packet engine drafts it from your summary: the letter, the evidence checklist and the deadline plan. Automated checks reject a draft that invents a deadline, claims enclosures you did not send or promises an outcome. Then: A person on the ClaimParrot team works through a release checklist before any packet is delivered: every clinical fact matches your summary, nothing is invented, placeholders stay in place of patient details, the payer's stated reason is answered point by point, and no date appears that you did not give. It is a quality check, not clinical or legal review: your clinician is the clinical reviewer, and signs. The full release checklist is on the sample packet page.

The service runs without a business associate agreement, so it accepts de-identified cases only. Leave out names, ID numbers, calendar dates and contact details; the form checks for common identifiers and stops the request if it finds one, but you are the last check. The letter comes back with placeholders such as [Member name] and [Member ID] that your team fills in.

No. Your team submits it, with the records the checklist names, because the appeal has to carry the patient's identifiers and your clinician's signature. Several payers also expect a person at the practice to submit it.

$29 appeal packet: medical-necessity, prior-authorization, coding and benefit denials, including outpatient therapy, psychiatry and ABA. $99 level-of-care packet: level-of-care or continued-stay denials in IOP, PHP, residential, inpatient or detox programs. Your first packet is free (the expedited fee still applies if you choose it), and you are invoiced monthly for packets delivered. If a packet can't be used, you don't pay for it. Programs with level-of-care denials every week can take Appeal Desk 10 at $590 a month for up to 10 packets.

3 business days for a single packet, 2 business days on Appeal Desk, or 1 business day for +$40. The clock starts the day your complete request arrives and counts US business days; the packet is due by 5 p.m. Eastern on the last day. A payer's 72-hour expedited window, or a peer-to-peer call set for tomorrow, is shorter than any delivery option. File the expedited appeal or book the call with the payer first, then choose 1 business day delivery (+$40) for the brief and the written appeal.

Behavioral-health denials across IOP, PHP, residential, inpatient, detox, outpatient and ABA, for commercial plans, Medicaid managed care and Medicare Advantage: medical necessity, level of care, continued stay, prior authorization, coding and benefit denials.

No. Nobody can promise an outcome. The packet makes sure the appeal answers the payer's actual reason, cites the criteria they used and points to the records that support it. It is not legal or medical advice.

Yes. Teams with steady volume usually move to an Appeal Desk plan, or to the 30-day design-partner pilot if they want to draft packets in ClaimParrot themselves.

Send the denial.Get the packet back.

Send a denial

You agree to our Terms and Privacy Policy. ClaimParrot is not a law firm, and no outcome is promised.

Details

Essential storage only, no tracking (cookie notice). Nor is ClaimParrot an insurer or clinical provider: packets are drafts your clinician reviews, signs and submits. ClaimParrot is operated by KERA Tech Solutions L.L.C., Prizren, Kosovo.