IQAppeals turns every insurance denial into a data-driven appeal — with the exact documentation checklist, AI-predicted overturn probability, and a pre-written appeal letter in under 60 seconds.
IQAppeals automates the entire appeals workflow — from reading the denial code off your EOB to generating a submission-ready letter with every supporting document identified.
Paste your CARC/RARC code or upload your 835 ERA file. IQAppeals reads the denial reason, payer, billed amount, and patient data automatically.
Auto 835 importInstantly see every document required for that specific denial code + payer combination. No guessing — the exact records, the specific content required, and where to find them.
238 CARC codes coveredOur model scores the appeal across 12 weighted factors — diagnosis severity, documentation completeness, payer history, appeal level — and tells you exactly what would push it higher.
XGBoost + rules engineOne click generates a payer-specific appeal letter with clinical language, regulatory citations (LCD/NCD), and all supporting documentation referenced. Download and submit.
Claude AI poweredEvery denial gets a 0–100% predicted overturn probability based on 12 weighted clinical, documentation, and payer factors. Know before you spend time appealing.
Unique to IQAppealsFor each CARC code + payer combination, get the exact documents needed — H&P, LMN, lab results, InterQual criteria — with content requirements and where to obtain them.
238 denial codesGenerates payer-specific, submission-ready appeal letters with clinical language, ICD-10 rationale, CPT justification, and regulatory citations in under 60 seconds.
Powered by Claude AI14 major payers mapped with appeal windows, P2P success rates, preferred submission methods, known quirks, and retro authorization policies. Always know your payer.
14 payers coveredNever miss a filing window. Automatic deadline calculation per payer (30, 60, 90, 180 days), email alerts at 14 and 7 days, and urgent flags at 3 days remaining.
Zero missed deadlinesTrack overturn rate, revenue recovered, cost per appeal, and AR days. See denial trends by payer, department, and coder. Prove ROI to your leadership team.
Real-time KPIsClaim CLM-8821 denied by UnitedHealth under CO-50. IQAppeals instantly scores it, lists every document needed, and tells the biller exactly what to do next — in seconds, not hours.
Every payer has different rules, windows, and quirks. IQAppeals has them all mapped — so you always know exactly what you're walking into.
Start free. No credit card. No contract. Cancel anytime.
IQAppeals isn't just software — it's the community for RCM and appeals professionals. Find your next role or post an opening at jobs.iqappeals.com
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Results that speak
for themselves