Claim Denial Appeal for Medical Office Managers with eClinicalWorks
The Problem
Primary Care denials pile up in athenahealth — each appeal takes 45 minutes of billing-team time and most die in the to-do pile because there aren't enough hours.
What We Build in eClinicalWorks
AI classifies denials by reason code, drafts the appeal letter with chart-cited clinical support, resubmits with corrected info, and tracks the payer response — appeal capture rate doubles. Purpose-built for teams running eClinicalWorks — uses the native API or agent integration so nothing leaves the system of record.
eClinicalWorks Integration Approach
Audit your eClinicalWorks configuration
We map the specific eClinicalWorks objects, custom fields, and workflows the automation needs to touch for your primary care practice.
Build on the eClinicalWorks API or agent
Integration happens inside eClinicalWorks — no data leaves the system, no parallel tool for your team to learn, no license changes.
Human-in-the-loop handoff
Every automation routes exceptions back to a human in eClinicalWorks with enough context to act — AI handles the 80%, your team owns the judgment calls.
See this running in your eClinicalWorks instance
30-minute call. We'll look at your actual eClinicalWorks setup and show exactly how this workflow fits.