Level-of-care routing
Separate medical necessity, level of care, continued stay, prior authorization, coding, network, and benefit issues before the team starts drafting.
For behavioral-health revenue cycle teams
Make every behavioral-health denial easier to route, review, and appeal.
ClaimParrot gives IOP, PHP, residential, inpatient, detox, outpatient, SUD, and ABA teams one workspace for payer notices, clinical evidence readiness, peer-to-peer prep, deadlines, and human-approved appeal packets.
Editable drafts. Human review before delivery.
Adverse-benefit determination
CP-1048 · Fictional sample · no PHI
Payer familyOptum / United Behavioral Health
Care settingIOP
Review stageConcurrent review
Denial categoryMedical necessity · continued stay
Criteria sourcePayer level-of-care guideline (named in the notice, not reproduced)
Deadline180 days stated in the notice · verify against the plan
Next actionClinical appeal · peer-to-peer available
The workflow
From intake to a reviewable packet.
- 01
Route the decision
Upload the adverse-benefit determination. ClaimParrot extracts the stated reason, care setting, review stage, payer codes, deadline, and criteria source actually printed in the notice.
- 02
Close evidence gaps
Prepare treatment-plan, symptom, functional-impairment, authorization, progress, risk, and discharge records with a checklist matched to the denial route.
- 03
Review the packet
Generate a grounded draft and peer-to-peer question set, then require qualified billing or clinical review before download or delivery.
Built for the work
Less packet assembly. More informed review.
The interface keeps the notice, evidence, deadline, draft, and approval state connected to the same case.
Clinical evidence readiness
Track the records a reviewer still needs without inventing symptoms, diagnoses, risk findings, treatment response, or payer criteria.
Peer-to-peer preparation
Turn the payer's stated rationale into neutral clarification questions for a qualified same-specialty clinician.
PHI-aware operations
Encrypted billing-client fields, PHI access logs, human approval, and audit export support a production workflow after the required vendor BAAs and deployment controls are in place.
A recurring workspace
Keep the team, evidence, and next action aligned.
Designed for recurring claim operations, with a clear human approval boundary around every generated packet.
De-identified design-partner pilot
$500 / 30 days
Up to 50 fictional or properly de-identified denials, two users, one queue import, weekly workflow review, paired preparation-time measurement, and an end-of-pilot scorecard. No outcome promise and no production PHI.
Field notes
What the workflow organizes.
Representative product examples, not verified customer outcomes.
“A continued-stay denial should enter the queue with the care setting, remaining evidence gaps, and peer-to-peer path already visible.”
“The draft is useful because the team can see what came from the payer notice, what came from the record, and what still needs human verification.”
Questions
Questions behavioral-health teams ask
Reviewed by a person. Every packet.