Appeals
Win back the denialsyou'd usually write off.
Most denied claims are never appealed, even though the majority of appeals succeed. Deadlines pass, the work piles up, and earned revenue gets written off.
Altair shows which denials are worth appealing by expected recovery and forecasts the revenue you will win back, then drafts the payer-specific appeal with the documentation each payer wants and files it before the deadline, automatically. It learns which arguments win for each payer and turns every overturn into prevention, on top of the systems you already run.
How Altair files your appeals.
Altair turns appeals from a backlog into an automatic step.
- 1
Identifies the denial reason
Altair reads the CARC and RARC on the remittance to determine exactly why the claim was denied and whether it is worth appealing.
- 2
Finds the deadline
It looks up each payer's appeal window and prioritizes the time-sensitive, high-value denials first.
- 3
Pulls the documentation
Altair gathers the clinical records, codes, and the payer's own policy language the appeal needs to win.
- 4
Drafts and files the appeal
It writes a payer-specific appeal that rebuts the exact denial reason and files it through the payer's channel, before the window closes.
- 5
Tracks to resolution
Altair follows the appeal through, escalates to the next level when needed, and learns which arguments win for each payer.
Works with everything you already run.
Altair runs on top of every EHR, practice-management system, and clearinghouse on the market, including yours. No rip-and-replace, no new software, no exceptions.
Runs the whole cycle: eligibility and benefits, prior authorization, medical necessity and documentation, payer-specific claim scrubbing, submission, claim tracking, remittance, autonomous denials, payer-specific appeals, and CFO-grade financial forecasting and underpayment detection.
Over 80% of appealed denials are overturned.
In Medicare Advantage, more than eight in ten appealed prior-authorization denials are overturned, yet most denials are never appealed at all. Altair appeals them for you, before the deadline.
KFF analysis of Medicare Advantage prior-authorization data, 2024. Overturn and appeal rates vary by payer and program.
Appeals, answered.
How long do I have to appeal a denied claim?
It depends on the payer. Appeal windows commonly run from about 60 to 180 days from the denial. Medicare Advantage allows 60 days, and many commercial payers allow up to 180. Altair tracks each payer's deadline and files within it.
Does appealing actually work?
Often, yes. The majority of appealed denials are overturned, and in Medicare Advantage more than 80% of appealed prior-authorization denials are reversed. The problem is that most denials are never appealed. Altair appeals them automatically.
What does Altair put in an appeal?
Altair rebuts the specific denial reason on the remittance, cites the payer's own policy, and attaches the clinical documentation that payer requires, then files it through the payer's channel with proof of timely submission.
Will this replace my billers?
No. Altair takes the repetitive appeal work off your billers, not their jobs. Your team reviews and approves, and spends its time on the exceptions that actually need a person.
Is Altair HIPAA compliant?
Yes. Altair is HIPAA compliant. Review our security posture and controls in detail at our Trust Center.
How fast can we start?
Days. Altair connects to your existing EHR and clearinghouse, so there is no rip-and-replace and no new software for your team to run.