Claim Denial Appeal for Urology Practice Managers with NextGen
The Problem
Urology 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 NextGen
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 NextGen — uses the native API or agent integration so nothing leaves the system of record.
NextGen Integration Approach
Audit your NextGen configuration
We map the specific NextGen objects, custom fields, and workflows the automation needs to touch for your urology practice.
Build on the NextGen API or agent
Integration happens inside NextGen — 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 NextGen with enough context to act — AI handles the 80%, your team owns the judgment calls.
See this running in your NextGen instance
30-minute call. We'll look at your actual NextGen setup and show exactly how this workflow fits.