about us
|
contact us
|
faq
|
news
|
patient rights
|
|
|
login
Why eAppeals | Management Profiles | Sitemap

eAppeals LLC , is the first company to have created and commercialized a standardized electronic system to process post-adjudicated disputed healthcare claims -- a process that has traditionally been done manually. In the $1.5 trillion healthcare industry, nearly one third of all claims are legally appealed, tying up enormous labor and capital costs. eAppeals’ solution enables hospitals and healthcare providers to increase their cash flow by collecting receivables that are either aging on their books or are written off because they (or their outside contractor) do not have the resources to process the large volume of disputable receivables or to handle the complicated procedures involved in the formal dispute resolution process.

eAppeals electronically processes denied, inappropriately paid claims or claims not paid promptly. The Company submits the information in a standardized electronic format to third party payers as a healthcare claim appeal. It has a systematic process that monitors the escalation of these appeals through higer levels of dispute resolution. In addition, eAppeals has developed the extensive databases essential to an electronic solution for handling disputed healthcare claims. These databases include:

• submission and formatting mandates required by third party payers;
• submission locations for the more than 3,000 insurance plans; and
• escalation procedures for affirmed appeals.