Medical Billing
Appeals filed for you, for medical practices and billing companies.
ClaimSpring is the appeals system we build for medical practices and billing companies. It picks up denied claims from your billing system, builds the appeal packet, files the appeal in the payer's portal and tracks every one until the payer decides. Your claims still go out through your own clearinghouse, so nothing about how you bill today has to change.
See a morning of appeals filed in
This demo is optimized for desktop. On a phone it may look cramped; open it on a computer for the full experience.
Open the full demo ↗Appeals only. Your clearinghouse stays.
ClaimSpring doesn't send your original claims. Those keep going through your clearinghouse. It takes over the part that eats your team's time: the appeal packets and the appeals themselves, filed in each payer's portal or emailed to payers without one.
How we help
Appeals filed for you, for medical practices and billing companies.
Your claims keep going out through your clearinghouse the way they do today. When one comes back denied, ClaimSpring builds the appeal packet, files the appeal in the payer's portal and tracks it until the payer answers.
What a practice says
Wilen Consulting made a big difference in how we handle billing.
Claims that used to require manual work are now submitted automatically. This has saved us a lot of time, reduced hours of claims entering and made the process much more streamlined for our practice. Aviva was great to work with and made the whole process easy. We are very happy with the results and definitely recommend Wilen Consulting to other practices.
Dr. Ari Krug, DMD
Orthodontist, Krug Orthodontics
Key challenges
What we hear from teams like yours
- Denied claims sit in a spreadsheet no one owns
- Every payer portal has its own appeal form
- Building an appeal packet means pulling notes, EOBs and letters by hand
- Appeal deadlines slip by before anyone gets to them
- Underpaid or disputed claims stall for months with no clear next step
- No one can say how much money is tied up in appeals
Our approach
How we work with you
- 1Connect to your billing system so denials come in on their own
- 2Set up the appeal forms and letters for each of your payers
- 3File a level 2 appeal when the first one is upheld, with every deadline tracked
- 4Give leadership one place to see what is in appeal and what came back
- 5Keep everything HIPAA-safe without adding steps for your staff
Some ways we help businesses like yours
A few examples.
Automatic Intake
Claims that need an appeal come in from your billing system with the payer's reason attached. No re-keying.
Appeal Packets
The appeal letter, EOB, visit notes and records put together into one PDF for each denial.
Portal and Email Appeals
The appeal is filed in the payer's own portal, or emailed automatically to payers that don't have one. Either way, the confirmation is saved on the claim.
Deadline Tracking
Every appeal has its deadline and follow-up date, so nothing ages out.
IDR Disputes
Independent Dispute Resolution built in, so disputes are tracked instead of lost.
Emails and Reports
Emails go out from the portal. Owners get reports without asking.
Something else in mind? Tell us.
Try our interactive portal, optimized for desktop
This interactive portal is optimized for desktop. On a phone it may look cramped; open it on a computer for the full experience.
Open the portal your team would work in and click around a sample practice:claims, automated activity, documents and the audit log.
DemoThis demo shows the workflow of one medical practice. The reports, actions, automations and documents are set up for each company's own billing process. Sample data only, not a live account.
Outcomes
What changes for your team
- Appeals filed before the deadline, every time
- Less time spent in payer portals
- More money recovered on every appeal
- One place to see every open appeal
Want this for your office?
Tell us what’s slowing you down. We’ll build you a solution.