Say it once, watch AI agents appeal it forever
Automate health insurance appeals, clinical policy research, and claims submissions without writing a line of code.
Used at global tech stacks
Why AppealPilot
CLAIM ANALYSIS
We extract deadline dates, procedural reason codes, and insurer criteria details instantly.
LIVE RESEARCH
Tavily queries insurer policies, clinical guidelines, and FDA standards in real-time.
CASE MEMORY
mem0 securely remembers past claim arguments to guarantee historical session continuity.
ACTION SUITE
Composio hooks directly into Gmail, Drive, and Google Calendar to draft and schedule delivery.
Claims & Facts
85%
Success boost rate
$4.2M+
Contested claim volume
< 90s
Average document draft time
100%
HIPAA data compliance
What we appeal
Medical Necessity
Prior-auth claims denied for expensive therapies, specialist biologic orders, or drug schedules.
Emergency Out-of-Network
Urgent trauma center treatments or hospital room claims billed out-of-network.
Advanced Imaging
MRI, CT scans, and nuclear diagnostics rejected due to lack of prior authorizations.
"People who accept their first health insurance denial without appeal are letting them win. There, we've said it."
Demo Workspace
Experience the tactile, claymorphic dashboard of the AppealPilot agent.
Try a sample denial
The agent scans patient files, claim tags, and deadlines automatically.
Technology stack
Integrations & API Partners
Four specialized tools collaborating in real-time to research, recall, write, and submit.
Tavily
Web researchQueries real-time insurance rules, insurer policies, and clinical standards on the fly.
mem0
MemorySaves claim context securely to remember your historical cases across multiple runs.
Composio
Tool actionsHook into GSuite and calendars to trigger Gmail drafts and calendar tasks on completion.
Nebius
AI reasoningPowers the primary LLM reasoning models to write structured, customized appeal briefs.