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Appeal process FAQ

How does ClaimDesk help with appeals?

Log each denial with its code, payer, amount and deadline. Move it from Pending to Submitted to Won or Lost, and ClaimDesk tracks your win rate and dollars recovered.

What does the AI Appeal Assistant do?

Enter the payer, denial reason/code and non-PHI claim details. It returns an appeal checklist, documents to gather, next steps, and a draft first-level appeal letter with blanks to fill in.

How do I know my appeal deadline?

Use the Deadline Calculators with the denial date and the payer's appeal window. Always confirm the exact window in the payer's denial notice or provider manual.

Which denial codes are covered?

Any CARC/RARC code — e.g. CO-50 medical necessity, CO-197 prior authorization, CO-16 missing information, CO-29 timely filing, CO-97 bundling.

Does ClaimDesk submit appeals to payers for me?

No. ClaimDesk organizes, drafts and tracks. You submit through the payer's portal, fax or mail, then record the submitted date.

Can I enter patient information?

No — use claim numbers only. ClaimDesk is designed to avoid protected health information.

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