Audience
Companies requiring a workflow and business intelligence solution to improve the process of identifying underpaid and denied claims
About AppealsPlus
AppealsPlus™ is a cloud-based solution that automatically analyzes ERAs, applies rules to place suspect payments and denials into appropriate work queues, and utilizes dashboards and key performance indicators to provide quantitative management and used to help drive decisions. The regulatory climate moves quickly and can change directions rapidly, leaving little time for providers and their patients to adjust. Providers don’t know if their patients will be able or willing to pay the bills after a procedure is performed. What most studies, vendors, and software companies fail to take into account is that the definition of denial is subjective. This definition differs by physician, biller, and institution. We'll take you and your team through a personalized four-week-long implementation phase to ensure that the solution is customized to your liking. After the initial four-week implementation phase you can continue to contact us with any questions or concerns you have.
Other Popular Alternatives & Related Software
ABN Assistant
For providers, medical necessity denials cost thousands to millions of dollars every year in write-offs, plus costly staff time researching and appealing denials and responding to patient concerns. For payers, the same is true on the other end of the claim management spectrum: Paying for medically unnecessary procedures and treatments – and time spent working on denial appeals – raises costs without improving outcomes. And of course, for the patient, there can be unnecessary copays and other out-of-pocket costs, not to mention a poor patient experience involving costs and moments of care they did not need. ABN Assistant™ from Vālenz® Assurance delivers the prior authorization tools providers need to validate medical necessity, print Medicare-compliant ABNs with estimated cost, and stop over 90 percent of medical necessity denials by verifying necessity before care is delivered to the patient.
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BillingBench
BillingBench is an independent denial management and payer intelligence platform for medical billing and revenue cycle teams. It tracks published payer requirements and longitudinal adjuster patterns by combining a citation-audited policy dataset with aggregate denial data.
Free core tools streamline daily billing workflows. The Denial Code Decoder translates CARC codes into plain-language definitions and root-cause analyses. To accelerate recoveries, the Appeal Letter Builder generates structured arguments with statutory citations tailored by denial type, specialty, and payer. Daily operations are supported by a Modifier Matrix with verified rulings, prior authorization checklists, a Timely Filing Calculator, and an 835 ERA Parser. A dedicated Chrome extension provides real-time support alongside major payer portals.
Citations are verified against primary sources, each with a transparent changelog.
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Altair
Insurance companies run AI to review, adjust, and deny claims. Most practices still work them by hand. Altair closes that gap: an AI-native, done-for-you medical billing service that runs your full revenue cycle, from eligibility and prior authorization to claims, denials, and appeals, backed by a US-based team of expert billers. It is a service that does the work, not software your staff operates.
Altair scrubs claims against payer edits and medical-necessity policies, works denials to root cause, files appeals, and learns how each payer behaves. It also runs patient billing and collections for you: statements, payment reminders, payment plans, follow-up on unpaid balances, and aged patient A/R, so the patient share is collected in full. Coding and charge capture stay with your practice; Altair runs everything else. It works with every EHR, and a live view shows what is billed, paid, and at risk.
Payers built their AI to pay you less. Altair gets you paid in full.
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Healthicity Audit Manager
For medical auditing, Audit Manager streamlines the way you manage audits by merging audit workflow, management, education, and reporting into one easy-to-use, web-based solution.
Audit Manager brings simplicity by helping you:
Identify Revenue
Evaluate financial impact. Minimize denials and identify up to 10%, per provider, in missed revenue with extensive reporting and analytics tools.
Increase Efficiency
Improve your auditing efficiency by up to 40%. Reduce the amount of time you spend completing audits with our user-friendly interface.
Improve Accuracy
Customize your audit templates. Include your own standards, MAC carrier guidelines, and claim scrubber tech for ideal results.
Audit Manager features:
Built-in Tableau integration for in-depth analytics and reporting.
Flexible Audit Management: View the status, and each associated status, of every audit, by any auditor.
E/M Calculator
Automatically calculate E/M codes with a built-in calculator.
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Integrations
Company Information
Etactics
United States
etactics.com/appealsplus
Videos and Screen Captures
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Product Details
Platforms Supported
Cloud
Training
Documentation
Webinars
In Person
Support
Phone Support
24/7 Live Support
Online
AppealsPlus Frequently Asked Questions
AppealsPlus Product Features
Medical Billing
Claims Processing
Supported
Compliance Tracking
Supported
Customizable Dashboard
Supported
Dunning Management
Supported
Invoice History
Supported
Patient Eligibility Checks
Supported
Quotes/Estimates
Supported
Claims Scrubbing
Not Supported
Code & Charge Entry
Not Supported
Practice Management
Not Supported
Remittance Advice
Not Supported
