Recover the revenue payers denied your practice.
And help the patients who are giving up on appeals they could win. Apellica is an AI denial-recovery engine, calibrated on real external-review outcomes, with a senior reviewer on every appeal.
of appealed Medicare Advantage prior-authorization denials are overturned. Yet just 11.5% are ever appealed. Most practices never file. We do.
You pay only on what we recover. No upfront cost, no system integration, no added work for your staff.
Recover denied revenue
Send us a sample of your aged denials. We score what is recoverable and return a real dollar estimate, free, under a BAA. You keep your existing workflow. We only get paid when you do.
Help patients win their appeals
Your patients are getting denied and giving up. We build and file their appeal at $0 upfront to them, grounded in real law and their own records. Refer a patient and we take it from there.
Get a free denial audit on your own claims
It is the fastest way to see what Apellica can do, on your own denials, before you commit to anything.
A batch of your aged or denied claims, securely under a BAA. No system access needed.
Our engine estimates the recoverable revenue and the strongest appeal path for each denial.
A real recovery estimate on your own claims. No cost, no obligation.
Why physicians work with us
Appeal-specific, not another RCM suite
Your billing team and your RCM vendor were built for clean claims. We work the aged, written-off denials they never get back to, on contingency.
Calibrated on real outcomes
Our engine is calibrated on real external-review decisions, with 140 carrier and regulation strategies and audited citations to real law on every appeal.
A senior reviewer on every file
Fourteen automated quality gates, then a human reviewer signs off. Nothing goes to a payer without both.
People hand us the fight, and win it back
Real reviews from patients, caregivers, and providers we have helped.
Man I was stressed out of my mind with a $14,000 bill from an ER visit that Anthem refused to cover. I tried fighting them myself for three months and got nowhere but transferred around. Handed it over to this team and they got the whole thing overturned. Cannot thank you guys enough.
Absolute lifesavers. Cigna denied my medication pre-auth twice and I was completely stuck. This team stepped in, dealt with the portal, and got it approved in less than two weeks. If you are dealing with insurance runarounds just let them handle it.
From a provider standpoint, the automated downcoding from commercial payers has gotten out of hand. We started routing our most stubborn, aged denials to this team on contingency. The turnaround has been incredible. It is completely risk-free revenue recovery for our practice.
Honestly I thought it was a scam at first because they said no upfront fees. But they actually only take a percentage of what they win back for you. They recovered $6,200 on my denied surgical claim. Super transparent and professional the whole way.
They are the real deal. My insurance cut off my physical therapy sessions midway through my recovery claiming it wasn't medically necessary anymore. This team fought the decision and forced them to reinstate my benefits. Absolute game changers.
Aetna denied our daughter's specialized scan and we felt completely helpless fighting a giant corporation on our own. This team has the actual technical expertise to make them fold. Don't waste your time arguing with customer service reps, just hire these guys.
Get your free denial audit
Tell us about your practice and we will follow up within one business day to set up your free, no-obligation audit.