Built exclusively for ABA practices
Upload a denial letter. Get a complete, payer-specific appeal in 60 seconds — with clinical citations, legal references, and a documentation checklist.
Upload a denial. See the appeal. Your first 3 are free.
of ABA claims are denied — roughly double the healthcare average (MGMA, AMA data). Every unworked denial is thousands left on the table.
of denied claims are never resubmitted (MGMA). Practices don't have the time or expertise to write appeals for every denial.
ClaimWon generates a professional appeal with clinical citations and payer-specific arguments.
What's in every appeal
Each appeal is tailored to the exact payer and CARC/RARC denial reason code — not generic boilerplate.
Upload assessments, progress notes, and treatment plans. ClaimWon cites real patient metrics, scores, and outcomes — not generic filler — alongside peer-reviewed research from Lovaas, Linstead, Reichow, and AAP guidelines.
Cites the Mental Health Parity and Addiction Equity Act and your state's ABA mandate where applicable.
A specific list of supporting documents to attach — treatment plans, progress notes, BCBA credentials — matched to the denial type.
Handles CPT 97151–97158, modifier disputes, authorization denials, medical necessity challenges, and more.
Log appeal results. Track win rates by payer, denial category, and over time. The system learns what works.
How it works
Drag and drop a PDF, Word doc, or photo of the denial letter. ClaimWon extracts the payer, denial reason, CPT codes, and patient details automatically — even from scanned documents.
Supports all denial types: medical necessity, auth expired, visit limits, timely filing, and more.
Upload the patient's clinical records — assessments, progress notes, treatment plans — along with the payer's ABA coverage policy. ClaimWon extracts real patient data and the payer's own medical necessity criteria so the appeal cites actual scores, outcomes, and the payer's own language.
Clinical records are used per denial. Payer policies are saved and reused automatically for every future appeal with that payer.
In under 60 seconds, receive a complete appeal letter with payer-specific arguments, peer-reviewed clinical citations, federal parity law, and state mandate references — plus a checklist of recommended supporting documents to attach.
Review, edit, and download as PDF or Word. Track outcomes in your analytics dashboard.
The math
of denied claims are ever appealed — the rest are written off as lost revenue
of appeals are partially or fully overturned when actually filed, per AMA and KFF data
to generate a complete appeal with payer-specific arguments, clinical citations, and legal references
Example: A practice with $2M in annual revenue and a 20% denial rate has $400K in denied claims each year. If 65% go uncontested, that's $260K in recoverable revenue left on the table — often because writing appeals takes too long, not because they'd lose.
Pricing
Start with 3 free appeals — no credit card required.
One recovered claim pays for your subscription.
25 appeals/month
For growing practices — most popular
Try 3 Free AppealsCustom volume
For multi-location practices and group-owned chains. Typical fit: 100+ appeals/month.
Contact SalesMost billing companies charge 4–8% of collections and deprioritize appeals because they're time-intensive. ClaimWon generates a complete appeal in 60 seconds with clinical citations and parity law references that most billers don't include. You can use it alongside your existing billing workflow.
Yes. ClaimWon is fully HIPAA-compliant. All data is encrypted in transit and at rest, and every account is covered by a Business Associate Agreement (BAA). Denial letters are processed securely and never shared. Your data stays yours.
Your plan resets monthly. Most practices find they have more denials than they realized — the ones being quietly written off add up fast.
The appeal letters include payer-specific arguments, peer-reviewed clinical citations (Lovaas, Linstead, Reichow, AAP), federal parity law, and state mandate references. These are the same evidence-based elements found in strong professional appeal letters. Try your first 3 for free and judge the output yourself.
Payers evaluate the clinical arguments, citations, and documentation — not how the draft was created. The output includes the same evidence-based elements found in professionally prepared appeals: payer-specific denial rebuttals, peer-reviewed research, and federal parity law.
ClaimWon generates appeals for any commercial or government payer. Upload your payer's ABA coverage policy from the denial page or Payer Policies tab and our AI extracts their exact medical necessity criteria — then references their own coverage language in every appeal letter.
Yes. Monthly billing, no contracts, no cancellation fees. If ClaimWon doesn't recover more than it costs, you shouldn't keep paying for it.
Upload a real denial letter, see the appeal ClaimWon generates, and decide for yourself. First 3 appeals are free — no card required.
Try Your First Appeal Free