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Remittance & Recovery

Turn every denial into a documented appeal.

CARC-aware, ERISA-grounded, and cited to public coding standards. Enter the denial details only, no patient data, and Tuenda drafts a signable appeal letter. 44% of internal appeals reverse the denial.

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No PHI required. No card to try it. Modeled, not guaranteed. Review before sending. Not legal advice.
44%
of internal appeals reverse the denial, yet fewer than 0.2% of denied claims are ever appealed.
KFF analysis of in-network claim denials and appeals
Why it exists

Denials get written off, not appealed.

Roughly 1 in 5 in-network claims is denied, yet fewer than 0.2% are ever appealed. Most get written off because drafting a defensible, code-cited letter takes time nobody on the billing team has. When practices do appeal internally, 44% of those denials reverse and up to 80% of appealed claims are ultimately paid. The revenue is on the table. The appeal just never gets written.

See it on a real code
Pulling the local-peer benchmark...
Live from Reddenda's dataset - public federal Transparency-in-Coverage + CMS. Local-peer median, never national. No PHI. Modeled, not guaranteed.
How it works

From denial code to signable letter

STEP 1

Decode the denial

Enter the CPT, payer, and CARC/RARC code, and Tuenda decodes the denial reason and its X12 group on-device, with a hard PHI gate so no patient identifiers ever leave the browser.

STEP 2

Ground the argument

It builds the case against public coding standards: NCCI bundling edits, LCD medical-necessity criteria, and the ERISA 2560.503 appeal basis, cited by name.

STEP 3

Draft the letter

A signable appeal letter streams out with bracketed placeholders for claim identifiers, never invented, ready to copy or print on letterhead as a PDF.

What it does for you

Why appeal

44%
of internal appeals reverse the denial (KFF)
Up to 80%
of denied claims ultimately paid when appealed
0 PHI
denial details only, identifiers stay on your device
Independent practiceRecover written-off E/M and procedure denials without hiring an appeals specialist. Draft a defensible, cited letter in minutes.
Billing & RCMTurn a denial worklist into consistent, source-cited appeals across every client, one letterhead, every CARC decoded.
Specialty groupFight NCCI bundling and medical-necessity denials on your high-value codes with the exact coding argument attached.
Behavioral healthAppeal precert and parity denials on therapy codes with MHPAEA-grounded, retro-authorization language built in.

Every denial deserves a documented appeal.

Enter the denial details, CPT, payer, and CARC, and Tuenda drafts a signable, cited appeal letter. No patient data leaves your device.

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