Appeals Agent
Detects claims pended or denied for medical records, then retrieves, validates, and submits them to payers to recover trapped appeal dollars.
What it does
Detects claims pended or denied for medical records, then retrieves, validates, and submits them to payers to recover trapped appeal dollars.
- Claim status checking
- Appeals automation
- Exception payment posting
- Patient credit refunds
- Eligibility verification
- Payer policy review
- Document review and data extraction
- Category
- Healthcare revenue cycle
- Built for
- Healthcare and life sciences
- Users
- Healthcare providers, RCM and billing teams, EHR systems, Healthcare networks and 1 more
- Public API
- Not offered
Not yet disclosed: deployment options, platforms, languages and support channels.
Pricing
Pricing not available
We don't have pricing details for Appeals Agent yet. Ask Substrate AI, Inc. for a quote.
Security and compliance
As reported by Substrate AI, Inc.. Ask for audit reports before you buy.
- SOC 2Compliant
- HIPAACompliant
- End-to-end encryption for data in transit and at rest
- Zero-trust architecture
- Periodic security audits and compliance checks
- Granular access controls
Alternatives
Complete healthcare automation platform for insurance checks, claims, and revenue intelligence for US healthcare providers.
AI-powered automation for every clinic workflow.
Prior Auth Autopilot
by Adentris
Generate prior auth packets that meet CMS 2026 SLAs.
Insurance Automation
by Cognitio Labs Inc.
Insurance verification, claim submission, credentialing, and patient scheduling automation for dietitian private practices.
Prior Authorization
by Trellis AI
Dedicated AI PA agent that searches guidelines, pulls needed fields from EHR or labs, auto-fills forms, submits to portals, flags discrepancies, and automates appeals to maximiz...
Monitor (Claims Monitoring)
by Benchify
Real-time verification: predict claim processing before settlement, verify every payment, explain denials with clause references.
Is this your product?
Claim it to keep details accurate and submit evidence for the next ranking review.
Claim Appeals Agent