Recover the revenue your denials are quietly costing you.
Appelo's software agents prepare, draft, and chase your appeals, prior-auth packets, and documentation checks. Your team reviews and approves every output.
Aetna · CO-197 · drafted
UHC · 2 documentation gaps
Cigna · overturned
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.
Sources: AMA 2024 prior-authorization survey; published claim-rework and appeal-overturn benchmarks. Figures are illustrative of the burden, not a guarantee.
Three agents that do the paperwork, not the deciding.
Each one ends the same way: Appelo prepares a draft, your staff reviews and approves it.
Denial management & appeals
Appelo reads the denial, classifies the reason, pulls the right documentation from the chart, and drafts a payer-specific appeal citing the correct medical-necessity criteria.
Pre-submission gap flagging
Before anything goes out, Appelo scans the claim or PA for the gaps that cause denials — missing conservative-care notes, code mismatches, payer-form issues — and suggests the fix.
Prior-auth prep & tracking
Appelo assembles the packet against each payer’s requirements, tracks submission status, and preps a peer-to-peer review pack with a clinical summary and talking points.
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.
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.
What your practice gets back.
See what you could recover.
Run a conservative estimate in two minutes, or talk to us about your denials.