ClaimIQ checks every claim before it goes out, then watches every payment summary that comes back— flagging denials and underpayments and drafting the appeal the same day. We make sure what you send doesn't bounce, and when it does, we have the rebuttal ready before staff sees the denial.
ClaimIQ rides shotgun with your existing clearinghouse. The practice still presses send. We make sure what you're sending doesn't already have a denial waiting for it.
Before the claim leaves your clearinghouse, ClaimIQ checks it against the verified benefits — frequency limits, missing tooth clauses, waiting periods, downgrade risk, pre-auth requirements, missing attachments. Denial-risk flags surface in time to fix them.
When the payment summary comes back from the payer, ClaimIQ reads every line: payer, procedure category, what was billed, what was paid, what was written off, deductible, denial codes. Denials and underpayments are queued for review.
For a denied or at-risk claim, ClaimIQ assembles the appeal package: draft letter, required attachment list, what's already in your software, what's missing. A branded evidence-bundle PDF goes out the same day.
For procedures that need prior authorization, ClaimIQ drafts the Letter of Medical Necessity using patient, procedure, and benefit context. Attachments are suggested or listed for you.
Click through each step — or let it play — to see ClaimIQ work alongside the clearinghouse you already use.
The claim is built the way it always has been — in your practice software, by your team, with the documentation you already collect.
Workflow doesn't change. Same software, same staff, same clearinghouse. ClaimIQ reads the claim in the background as it's built.
Denial-risk flags cross-checked against the verified eligibility, the patient's procedure history, and learned per-payer denial patterns. Anything off raises a clean, actionable warning.
Whatever you use today — Change Healthcare, your practice software's submission path, or another clearinghouse — keeps working. ClaimIQ is not in the submission path.
Denials and underpayments are surfaced with the original line context. For appealable cases, the draft + evidence bundle is ready before staff opens the inbox.
30-minute demo. Bring a recent denial; we'll show what ClaimIQ would have caught pre-submission and what an evidence bundle would look like for the appeal.