Healthcare · Billing

Denied Claim Patient Notification & Appeal Support

Notify patients transparently when a claim is denied.

Apps this needs

EHR / Practice System Read availability and write appointments back to your clinic system. Connect during setup
Inbound Email Let the agent read and answer email enquiries. Connect during setup
SIP Trunk Route inbound & outbound calls through your phone system. Connect during setup

How it works

  1. Agent identifies claims denied with patient financial impact.
  2. Notifies the patient in plain language what happened and whether the practice is appealing or the patient needs to act.
  3. Books a billing office call for patients wanting to discuss specifics.
  4. Tracks appeal outcomes and updates the patient once resolved, written back to the billing system.

Data sources

Billing system claim status/denial codes Appeal tracking

What it targets

  • Denied claims with patient notification within 5 business days Target 95%
  • Patient-initiated billing disputes reduced Target -25%