EOB parser
Extract denial reason codes, billed amounts, payer notes, and appeal windows from Explanation of Benefits documents.
For behavioral-health billing and RCM companies
Turn behavioral-health denial backlogs into a repeatable appeal operation.
ClaimParrot turns EOBs, adverse-benefit determinations, authorization records, CPT codes, and approved clinical evidence into clean work queues for IOP, PHP, residential, inpatient, detox, outpatient, SUD, and ABA clients.
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
Intake the queue
Upload EOBs and payer letters. ClaimParrot extracts denial codes, care setting, review stage, deadline, and missing fields.
- 02
Validate the codes
Route medical-necessity, level-of-care, continued-stay, authorization, coding, and benefit decisions to the right review path.
- 03
Review specialty-aware packets
Prepare evidence checklists, peer-to-peer questions, and grounded drafts for qualified staff to review before 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.
Behavioral-health evidence builder
Organize approved clinical records around medical necessity, level of care, continued stay, authorization history, and discharge readiness.
PHI-aware operations
Team seats, encrypted client fields, PHI access logs, BAA workflow, and audit export support a production deployment after vendor agreements and controls are verified.
Denial trend analytics
See which payers and codes fail most often so your team can fix revenue leaks upstream.
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. Production plans begin after fit and deployment requirements are agreed.
Field notes
What the workflow organizes.
Representative product examples, not verified customer outcomes.
“Use the queue for the routine denial work: extract the code, build the appeal packet, then let the billing specialist review.”
“Payer-specific templates help keep the team consistent while preserving human review before anything is sent.”
Questions
Questions billing teams ask
Reviewed by a person. Every packet.