01
Start with the denial
Bring the denied claim into a case with payer, service and denial context.
Each stage has a different job: understand the case, assemble evidence, review the appeal, observe payment and verify recovery.
Bring the denied claim into a case with payer, service and denial context.
Retrieve relevant policy context and separate administrative requirements from clinical support.
Attach clinical documentation, preserve provenance and identify what is still missing.
Create an evidence-grounded draft that remains clearly marked for human review.
A person reviews the package and explicitly approves it before submission is recorded.
Ingest ERA/835 evidence and reconcile it against the submitted claim.
Positive payment evidence attributable to the managed claim becomes a verified recovery event.
Contingency billing is derived from verified recovery evidence rather than a manually declared win.
RemitMend is designed so consequential decisions remain reviewable. Clinical evidence is not invented, policy context is not presented as clinical fact, and appeal submission remains a controlled human action in the current workflow.