JV Clinical Appeal Builder
Turn Behavioral Health Denials Into Evidence-Based Appeals.
Analyze de-identified insurance denials, identify relevant clinical evidence, and create professional appeal letters in minutes.
For properly de-identified information only. Remove patient identifiers before uploading. What should I remove?
Denial reason 3: Caregiver involvement
Potentially challengeablePayer's concern
Records do not document caregiver training goals or participation.
Relevant clinical evidence
“The parent attended 14 of 16 scheduled caregiver training sessions during the prior authorization period.”
ABA Treatment Plan 1 · Paragraph 21 · Included in original submission · Quote verified
What you get
Accurate analysis first. A strong letter follows.
Clinical denial analysis
Each denial reason is identified, classified and analyzed on its own, including reasons the record may actually support.
Supporting evidence comparison
Findings cite the exact passage, document and page or paragraph, and every quote is checked against your documents.
Missing documentation identification
See what the record lacks, where documents conflict, and which questions the treating provider should answer.
Professional appeal letter creation
An individualized, point-by-point draft with placeholders for every patient identifier, ready for clinician review.
Downloadable Word and PDF documents
Edit in the browser, then download. Add patient details on your own approved systems after download.
Honest about weak cases
Appeal Builder never invents clinical facts, policies or deadlines, and it tells you when the record supports the payer.
How it works
Five steps, no sales call
- 1
Select the denial letter
Choose your de-identified denial letter (PDF, Word or text).
- 2
Add supporting documents
Add up to 9 clinical records and mark whether each was in the original submission.
- 3
Review extracted content
See exactly what would be sent, fix anything that looks identifying.
- 4
Confirm de-identification
Attest that the documents are properly de-identified.
- 5
Analyze and draft
Get a cited analysis and an editable appeal letter to download.
Pricing
Simple monthly plans. A letter counts only when it is successfully generated.
Try any plan free for 14 days, including 2 letters. A card is required, but you won't be charged until the trial ends, and you can cancel anytime before then. One free trial per practice.
Starter
For solo clinicians and small practices.
$29/ month
Up to 10 letters per month
- Denial analysis with verified citations
- Editable letters, Word and PDF downloads
- Cancel or change plans anytime
Most popular
Professional
For growing group practices.
$59/ month
Up to 25 letters per month
- Everything in Starter
- Room for a growing caseload
Practice
For busy practices and billing teams.
$99/ month
Up to 50 letters per month
- Everything in Professional
- Lowest cost per letter
Pay per letter
No subscription or commitment. $4.50 per letter, bought in any quantity up to 20 at a time. Purchased letters never expire.
Frequently asked questions
Questions clinicians ask
Can I upload records that still contain patient information?
No. Appeal Builder is intended only for properly de-identified information. Remove names, dates of birth, member and authorization numbers, record numbers, contact information, addresses, patient-related dates and any other details that could identify the patient before you upload. The built-in screen helps catch obvious mistakes, but it cannot guarantee a document is de-identified.
Are my original files uploaded?
No. Your browser reads the text from PDF, Word and text files on your own computer. Only the reviewed text you approve is sent for analysis. File names, file properties, comments, images and hidden metadata are not sent.
Do you store my documents or letters?
No. Clinical text, analyses and letters are processed for your session and are not saved in our database. Download your letter before you leave the page; closing the page clears your work. Our database stores only your account, practice, plans and usage counts.
Will the AI make up clinical facts to strengthen an appeal?
It is instructed never to, and every quoted excerpt is automatically checked against your documents. Quotes that cannot be matched are flagged for your review. The analysis reports contradictions and tells you when the record supports the payer.
Does it know my state's appeal rules and deadlines?
No, and it won't guess. You can select your state, plan type and payer type to shape terminology, but Appeal Builder does not calculate deadlines or assert payer policies. Always verify applicable payer, plan, state, and federal appeal requirements before submission.