For providers
Prior Authorization
Responder — appeal letters that win denied authorizations.
Paste the denial, the clinical picture, and the plan. Responder writes a medical-necessity appeal tailored to the appeal stage, the payer's own policy language, and the dosimetry that supports the case.
“Stereotactic body radiation therapy for oligometastatic prostate cancer is considered experimental and investigational because its effectiveness has not been established. Requested: 77373 × 5.”
- Patient
- R. Chen
- Diagnosis
- C61 · 3 lesions
- Appeal by
- Nov 12
- Stage
- Initial
A denial is a document that asks for a better document.Responder writes it in minutes.
How it works
4 steps from question to artifact.
Runs in the background. Documents are extracted and PHI-scrubbed locally in your browser before anything leaves it.
- Step 01
Read the denial
The payer letter is parsed for the denial reason, the policy cited, the appeal stage, and every deadline that matters.
Denial · stage · timeline - Step 02
Match the clinical picture
Consult notes, imaging, pathology, and the treatment plan are mapped against the payer's medical-necessity criteria point by point.
Criteria · evidence map - Step 03
Bring the dosimetry
For proton and photon cases, a comparative DVH is selected or attached so the letter argues with numbers, not adjectives.
DVH comparison - Step 04
Write for the stage
Initial appeal, second level, independent review, or ALJ: tone, citations, and required timeline fields change with the stage.
Letter · citations
What you get
- 01
Proton and photon
Dedicated Responders for proton therapy and for photon, IMRT, SBRT, and SRS.
- 02
Stage-aware
Initial, second appeal, IRO, and ALJ letters each follow the rules that stage demands.
- 03
Policy-cited
Arguments quote the payer's own policy language and the guideline it rests on.
- 04
DVH-backed
Dose-volume comparisons are woven into the narrative where they change the decision.
- 05
PHI stays local
Documents are extracted and scrubbed in the browser before anything leaves it.
- 06
Cover letters included
Cover Generator produces the fax sheet and cover letter that travel with the appeal.
5 min
Denial to finished letter
4
Appeal stages supported
0
PHI sent before local scrubbing
Where it fits
Other products
- P2P CopilotWalk into every peer-to-peer already knowing the objections.
- Submission CopilotKnow the likelihood of approval before you submit.
- Policy & CoverageEvery payer policy, in full spectrum.
- Knowledge BaseFrom clinical question to trusted evidence.
- GravityFull revenue cycle management on a workflow you design.
Ready to answer your next denial?
Bring a real denial letter. We will show you the appeal Responder writes for it, and what it cites.