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For behavioral-health billing and RCM companies

Turn behavioral-health denial backlogs into a repeatable appeal operation.

ClaimParrot turns de-identified denials from your IOP, PHP, residential, inpatient, detox, outpatient, SUD, and ABA clients into routed appeal packets: software drafts each one, a person checks it, and your client's clinician adds the patient details, signs, and submits.

Editable drafts. Human review before delivery.

Adverse-benefit determination

CP-1048 · Fictional sample · no PHI

Awaiting clinician sign-off
Payer familyOptum / United Behavioral Health
Care settingIOP
Review stageConcurrent review
Denial categoryMedical necessity · continued stay
Criteria sourcePayer level-of-care guideline (named in the notice, not reproduced)
Deadline180 days stated in the notice · verify against the plan
Next actionClinical appeal · peer-to-peer available

The workflow

From intake to a reviewable packet.

  1. 01

    Send de-identified denials

    Send each denial as a summary without names, ID numbers, or dates: payer, denial codes, care setting, review stage, the stated reason, and a clinical summary.

  2. 02

    Validate the codes

    Route medical-necessity, level-of-care, continued-stay, authorization, coding, and benefit decisions to the right review path.

  3. 03

    Review specialty-aware packets

    The packet engine drafts the letter, evidence checklist, and peer-to-peer brief; a person checks every packet before release, and your staff review it before submitting.

Built for the work

Less packet assembly. More informed review.

The interface keeps the notice, evidence, deadline, draft, and approval state connected to the same case.

EOB parser

In the design-partner workspace, extract denial reason codes, payer notes, and appeal windows from fictional or de-identified Explanation of Benefits documents.

Behavioral-health evidence builder

List the clinical records each argument needs: medical necessity, level of care, continued stay, authorization history, and discharge readiness.

No PHI, no BAA

Requests are de-identified, so no protected health information reaches ClaimParrot and no BAA is needed. Packets come back white-labeled, with placeholders your client fills in.

Denial trend analytics

See which payers and codes fail most often so your team can fix revenue leaks upstream.

Wholesale for billing partners

Resell reviewed appeal packets to your clients.

Software drafts every packet from a de-identified summary and a person checks it before it reaches your team. White-labeled, with no PHI and no BAA.

Wholesale packets

From $19 / packet

$69 for level of care. White-labeled for your clients and invoiced monthly; the first 5 are free so your team can judge the quality.

A recurring workspace

Keep the team, evidence, and next action aligned.

Designed for recurring claim operations, with a clear human approval boundary around every generated packet.

De-identified design-partner pilot

$500 / 30 days

Up to 50 fictional or properly de-identified denials, two users, one queue import, weekly workflow review, paired preparation-time measurement, and an end-of-pilot scorecard. Waived for the first three design partners who agree to a published case study.

Example workflows

What the workflow organizes.

Representative product examples, not verified customer outcomes.

Example denial queue workflow

Use the queue for the routine denial work: extract the code, build the appeal packet, then let the billing specialist review.

Fictional product scenario - no outcome claim

Example payer template workflow

Payer-specific templates help keep the team consistent while preserving human review before anything is sent.

Fictional product scenario - human approval required

Questions

Questions billing teams ask

No, and you don't need one. ClaimParrot accepts de-identified information only: no names, ID numbers, dates, or contact details. Packets come back with placeholders that your client's team fills in inside its own systems, so no protected health information reaches ClaimParrot.

Yes. Billing partners buy white-labeled packets at wholesale, $19 standard and $69 level of care, invoiced monthly, and the first 5 are free so your team can judge the quality first. The design-partner pilot gives two of your users the workspace itself.

The workflow can organize notices from major commercial and government payers. Staff must verify the current payer policy, contract, criteria license, and submission rules for every case.

Reviewed by a person.Every packet.