We work for you, not the payer

The Claim Operating System for specialty practices.

From the moment a remittance lands, Appelo works every claim end to end — catches denials before they happen, drafts and grounds the appeal, recovers underpayments, and shows leadership exactly where the money is. Every output, your team approves.

Intake Prevent Appeal Recover Analyze
Drafted by AI. Approved by your team. No black-box decisions.
appelo · worklist
Knee arthroscopy appeal
Aetna · CO-197 · drafted
$4,820
Needs your review
MRI lumbar · PA packet
UHC · 2 documentation gaps
Documentation gap
Shoulder injection appeal
Cigna · overturned
$1,160
Approved & submitted
Recovered this month$248,310
Staff hours saved312 hrs
The paperwork problem

The work is winnable. There's just too much of it.

Prior auth and denials drain hours your team doesn't have — so winnable revenue gets written off instead of appealed.

13 hrs
Physician time lost to prior auth every week (AMA, 2024)
39
Prior-auth requests a physician completes per week
$25–118
Cost to rework a single denied claim
Most
Denials are never appealed — even though ~half get overturned

Sources: AMA 2024 prior-authorization survey; published claim-rework and appeal-overturn benchmarks. Figures are illustrative of the burden, not a guarantee.

How it works

One operating system for the whole claim lifecycle.

Every stage ends the same way — Appelo prepares, your team approves. Nothing is ever submitted on its own.

Intake

Remittances & records in

Drop in an 835 remittance or 837 claim file — or let providers email records to your intake address. Appelo reconciles every claim, posts payments, routes denials to the queue, and flags underpayments. No clearinghouse integration.

835 / 837 + email → reconciled claims
Prevent

Catch denials before they happen

The moment a claim is drafted, Appelo scans it against payer rules — ortho-aware, with conservative-care timelines, global-period modifiers, and NCCI/CCI checks — and flags the fixes before you submit.

Pre-submission gap checks
Appeal

Denials, drafted and grounded

A denial arrives already classified, drafted, grounded in current payer/CMS policy, and risk-scored. Unsupported claims are flagged and must be acknowledged before you approve.

Appelo drafts → your team approves
Recover

Underpayments, not just denials

Every paid claim is benchmarked against your contracted rate. When a payer pays below contract, Appelo flags the variance and drafts a recovery letter anchored on the exact shortfall.

Underpayment detection + recovery
Analyze

Show leadership where the money is

An executive view in dollars — at risk and recoverable — with a benchmarked KPI spine, ortho service-line lenses, a board-ready monthly review, and how you compare to your specialty peers.

Exec analytics + peer benchmarking
Human in the loop

Drafted by AI. Approved by your team.

No black-box decisions. No clinical or coverage call is ever automated. Appelo does the preparation; your people make every decision.

Edit any draftApprove before anything sendsEvery action logged
Providers' counter-AI

Payers use AI to deny. Appelo is the AI that answers back — in the open.

Most physicians believe payers' AI is driving more denials, and those automated decisions are hard to challenge because no one can see the reasoning. Appelo flips that: every appeal is grounded in real payer policy, checked against your chart, and shows its work.

61%
of physicians say health plans' AI is increasing prior-auth denials (AMA, 2025)
Cited
Every argument is grounded in real payer policy — Appelo never invents a policy number
Checked
Each claim is verified against your own documentation before you approve it
Logged
Every AI draft and human approval is timestamped in an exportable audit trail

Sources: AMA February 2025 prior-authorization physician survey; Health Affairs and Stanford on the opacity of payer AI determinations. Transparency claims describe Appelo's design.

Built for specialists

Orthopedics-first. Built for specialty revenue cycle.

Orthopedics has the widest prior-auth surface area of any specialty — every imaging study, surgery, injection, and therapy course is its own approval process. Appelo starts there, and the same engine works wherever paperwork stands between care and payment.

OrthopedicsCardiologyOncologyRadiologyGastroenterology
ImagingMRI, CT, advanced imaging PAs
SurgeryArthroscopy, joint replacement
InjectionsViscosupplementation, blocks
PT & DMETherapy courses, orthotics, braces
Outcomes

What your practice gets back.

Recovered revenueAppeal the denials you currently write off — and catch the ones you’d miss.
Fewer AR daysCleaner submissions and faster appeals shorten the time to payment.
Reclaimed staff hoursYour team reviews and approves instead of drafting from scratch.
Faster patient careApprovals move sooner, so treatment isn’t stuck behind paperwork.
Less burnoutThe grinding, repetitive work is handled — the judgment stays human.
Cleaner audit trailEvery draft and approval is logged and exportable.

See what you could recover.

Run a conservative estimate in two minutes, or talk to us about your denials.

Built for HIPAA
SOC 2-aligned
BAA included
Never trains on your data
Full audit trail