Questions, answered
Everything a practice owner or office manager asks before the first appeal.
Fit & specialties
Which practices is AppealNest for?
Small, independent dental and optometry practices — roughly 1–10 providers — where the front desk or office manager handles denials without a dedicated appeals team. We lead with dental, and optometry runs on the same engine.
Which payers does it work with?
Any payer whose denials you receive as a scanned EOB or an ERA 835 file. AppealNest reads the denial you already have — it does not need a direct connection to the payer, and it never logs into a payer portal. Our knowledge base includes appeal-format details for the common dental and vision plans, and grows over time.
Do I need a specific practice-management system?
No. The core flow is upload-based: you provide the EOB (or 835) and the clinical documents, and AppealNest does the rest. No PMS integration is required to start.
Trust & outcomes
Do payers actually accept AI-drafted appeals?
Payers accept well-documented appeals — the denial reason addressed, the required evidence attached, in the expected format. That's exactly what AppealNest produces, and your staff signs it under the practice's name, so to the payer it's a normal appeal from your office. Appeals filed with proper documentation succeed roughly 60–70% of the time. We don't guarantee any specific outcome — no honest vendor can.
What if the required evidence is missing?
AppealNest tells you. During evidence matching it checks your uploaded documents against what the denial reason requires; anything missing becomes a clear to-do on the review screen. The letter only cites documents that actually exist — it never claims a pocket depth or a radiograph you didn't upload.
Who signs and sends the appeal?
Your team. AppealNest drafts and assembles the package; a licensed staff member reviews, edits, signs, and submits it through your existing channel. The product never auto-submits.
Data & compliance
How is patient information protected?
AppealNest is a HIPAA Business Associate. We sign a BAA with your practice and operate under BAAs with every downstream service that could touch PHI. Data is encrypted at rest and in transit, we keep the minimum necessary, and every access is audit-logged. See the Security & HIPAA page for the detail.
Do you sell or train on our data?
No. Your documents are used only to produce your appeals. Our LLM provider runs on zero-data-retention endpoints under a BAA — your PHI is not used to train models, and we do not sell practice data.
How long do you keep documents, and can I delete them?
You control retention. Documents and generated appeals stay available while you need them and can be deleted on request; deletions are honored across our storage. Retention specifics are covered in the BAA and privacy policy.
Getting started
How does the trial work?
The 14-day trial needs no credit card. Sign up, upload a denied claim and its documents, and run it end to end. Prefer to start with synthetic data before real PHI? That's fine too.
How long does one appeal take?
From upload to a reviewable draft is a matter of minutes, not the hour or two a manual appeal takes. Your review time is up to you — most sections are accept-as-is once you've seen the citations.
Still deciding?
The fastest answer is to run one of your own denials through it.