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ClaimParrot is not a law firm, and no outcome is promised. Our Terms apply when your organization sends a request, opens an account or buys a plan; our Privacy Policy explains how we handle data.

Details

Nor is ClaimParrot an insurer or clinical provider: packets are drafts your clinician reviews, signs and submits. We set no cookies of our own. We keep a few small settings in your browser, and Cloudflare Web Analytics counts page views without cookies; unless you refuse, one entry also remembers, for this tab only, which link brought you here. The cookie notice lists each one and how to refuse the optional ones. ClaimParrot is operated by KERA Tech Solutions L.L.C., Prizren, Kosovo.

Appeal packets, drafted by software

Send us a de-identified 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, checked by a person before it reaches you, with a target of 3 business days.

Updated

First packet free, one per organization. De-identified information only. 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]...

Pricing

Pay per packet. The first one is free.

One free packet per organization, for its first request; the +$40 fee for 1-business-day delivery still applies if you choose it.

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
  • Target: 3 business days

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
  • Target: 3 business days

Appeal Desk 10

Programs with level-of-care denials every week.

$590per month

  • 10 packets a month, any type ($59 each)
  • Target: 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

Packets for your clients, at wholesale. Each names ClaimParrot as the drafter.

$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.

Turnaround times are targets, as our Terms say: the clock starts the day your complete request arrives, counts US business days, and aims for 5 p.m. Eastern on the last day. Need it faster? Expedited delivery, with a 1 business day target, 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. If a delivered packet can't be used for the denial you sent (for example, it answers the wrong denial or route), tell us within 30 days and we won't charge for it, or we'll refund it. Every payment can also be refunded in full within 30 days, no reason needed. 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 with generative AI; a person checks it against the payer's reason before it is released 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.

Drafted with generative AI (Anthropic's Claude) from your de-identified summary, then checked by a person at ClaimParrot.

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 payer's stated reason, in your own words or quoted without identifiers
  • 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, and member, claim, account or record numbers
  • Dates other than the year (for anyone 90 or older, the year too)
  • Addresses, phone numbers and email addresses
  • The notice itself and the medical records
  • Any other of the 18 Safe Harbor identifiers, for the patient and for relatives, employers or household members, and anything you know could identify the patient

De-identified means de-identified under HIPAA (45 CFR 164.514(b)), by the Safe Harbor method or an expert's documented determination; your organization makes that call, not ClaimParrot. How de-identification works.

Send a denial

One denial, 11 answers.

Most are taps. The packet comes to your work email, with a target of 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 11Target: 3 business days · first packet free, one per organization
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

Turnaround times are targets: business days count from the day you send this, aiming for 5 pm Eastern on the last day. On an Appeal Desk plan the target is 2 business days.

Choose the care setting and denial type to see the price. If this is your organization's first request, it is free (one per organization).

From a 42 CFR Part 2 program? Nothing in a request may identify the patient as having or having had a substance use disorder, and a patient's Part 2 consent does not make it permissible to send ClaimParrot identifiable information.

When your team files the appeal, disclosing the patient's records to the payer needs the patient's written Part 2 consent (a single consent for treatment, payment and health care operations under 42 CFR 2.33 can cover it; a minor who consented to treatment alone signs it themselves, 42 CFR 2.14), and each disclosure must carry the notice required by 42 CFR 2.32.

The 18 identifiers and how de-identification works

0 of 11 required answers done

You get an automatic receipt with your reference right away; then a person reads the request and replies. By sending, you accept the Terms. Our Privacy Policy explains how we handle your details.

You get an automatic receipt with your reference right away; then a person reads the request and replies. 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.

What published data says about denials and appeals

These are published figures for the programs and years named, not ClaimParrot results, and none predicts what will happen to any one denial. Checked . See every figure, its caveats and the numbers we advise against citing.

Questions

Before you send a denial.

The ClaimParrot packet engine drafts it from your summary with generative AI (Anthropic's Claude): the letter, the evidence checklist and the deadline plan. Before anyone reads the draft, automatic checks reject a letter that makes up a deadline, says records are enclosed when you sent none, promises payment, quotes criteria text you did not give us, or cites a law you did not give us, apart from a short list of federal appeal and parity rules we keep (such as the ERISA claims rule, 29 CFR 2560.503-1). Then: A person on the ClaimParrot team works through a release checklist for every packet before it is released: 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.

ClaimParrot accepts only information de-identified under 45 CFR 164.514(b), which is not protected health information, so it does not sign business associate agreements. Your organization de-identifies each request before sending it; the form screens for common identifiers, but it is a backstop, not the determination. Leave out all 18 Safe Harbor identifiers of the patient and of relatives, employers or household members; names, ID numbers, dates other than the year and contact details are the common ones. 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 (one per organization; the +$40 fee for 1-business-day delivery still applies if you choose it), and you are invoiced monthly for packets delivered. If a delivered packet can't be used for the denial you sent (for example, it answers the wrong denial or route), tell us within 30 days and we won't charge for it, or we'll refund it. Programs with level-of-care denials every week can take Appeal Desk 10 at $590 a month for up to 10 packets.

Target turnaround: 3 business days for a single packet, 2 business days on Appeal Desk, or 1 business day for +$40. Turnaround times are targets, as our Terms say: the clock starts the day your complete request arrives, counts US business days, and aims for 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 is written to answer the payer's stated reason, name the criteria the notice cites and point 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.