Denials & appeals 2 NEED ACTION
Pilot flags denials within 24 hours and suggests appeal language. Industry avg appeal-win rate 41%; with Pilot, we hit 67%.
| Claim | Patient | Carrier | Reason | Amount | Days | AI suggestion |
|---|---|---|---|---|---|---|
| CL-8421 | T Tom Anderson | Aetna PPO | Pre-auth not on file (D6010) | $2,480 | 13d | Resubmit with Dr Sharma pre-auth letter · template ready |
| CL-8398 | M Maria Garcia | Cigna | Non-covered service (D4341) | $890 | 9d | Appeal as medically necessary · cite ADA code D4341 perio |
| CL-8350 | E Emily White | Cigna | Missing tooth clause (D6750) | $1,920 | 21d | Pre-auth not appealable · convert to patient ledger |
3
Open denials
67%
Appeal-win rate
$4,290
$ recoverable
2.4d
Avg time to appeal
Practice OS preview by fivedaylaunch