Built exclusively for ABA practices
Most denied ABA claims never get appealed — not because they're unwinnable, but because writing appeals takes hours. ClaimWon turns a denial letter into a complete appeal in 60 seconds, with payer-specific arguments, clinical citations, and federal parity references built in.
Upload a denial. See the appeal. Your first 3 are free.
of ABA claims are denied — roughly double the healthcare average. Every unworked denial is thousands left on the table.
of denied claims are never resubmitted. 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.
Automatically references Lovaas, Linstead, Reichow, AAP guidelines, and Surgeon General findings relevant to the denial.
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. Scanned documents work too.
ClaimWon parses the denial, identifies the payer strategy, and generates a complete appeal letter in ~60 seconds.
Review the appeal, make any edits, and submit to the payer. Log the outcome and your analytics dashboard updates automatically.
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. One successful appeal typically covers months of your subscription.
50–80% of appeals are overturned when filed — most practices just don't have time to file them
25 appeals/month
$35 per appeal — most popular for growing practices
Start FreeMost 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 legal arguments 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 elements that experienced healthcare attorneys include. Try your first 3 for free and judge the output yourself.
You review and edit every letter before sending. Payers evaluate the clinical arguments, citations, and documentation — not how the draft was created. The output includes the same elements experienced healthcare attorneys use: 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 in Settings and our AI extracts their exact medical necessity criteria — then argues their own language back at them 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