Clausea | Automated Denial Appeals

They win by making you
do busywork.

Insurers have created an information asymmetry. They use bots to reject you instantly. They force you to use fax machines and manual letters to respond.

It's designed to be so annoying that you just give up.

The Logic Trap: Denials are pattern mismatches. They automate the rejection; you perform manual labor to fix it.
The Fatigue Factor: Writing a custom appeal takes 45 minutes. If the claim is <$150, you just write it off.

Avg Denial Rate

$50

Cost to fight back

0M+

Policy pages indexed in our engine

The Science

Weaponize their own policies.

1. Drag & Drop

Upload your denial letter (PDF) and the patient chart note. No EHR integration required.

2. AI Logic Match

Our engine pulls the 2024 Policy Bulletin for that specific payer and finds the clause that validates your claim.

3. Instant Legal Draft

The AI drafts a robust, legally cited appeal letter citing the exact policy precedents. You just sign and fax.

Features

EOB Table Parsing

Handle massive Explanation of Benefits tables. We extract line items, remark codes, and adjustments instantly.

Messy Scans? Fine.

Support for PDFs, JPEGs, and even low-quality fax scans. If a human can read it, our AI can read it.

Universal Payer Index

We have indexed policies for UHC, Aetna, Cigna, BCBS, and Medicare. All 50 states supported.

Legal Argument Engine

We don't just summarize; we argue. The AI constructs logical proofs using the payer's own words against them.

Automatic Batching

Upload a ZIP file of 50 denials. We automatically rotate, sort, and categorize them by Payer and Denial Code.

+ Many more features

Everything else you need to make your revenue cycle compliant.

Stop leaving money on the table.

Give us your "Dead Pile" from last month.
If we don't help you generate a valid appeal, you don't pay.

Starter

$299/mo

Pays for itself with 2 recovered claims.

50 Appeals / mo
All Major Payers
PDF Generation

Start Trial

Growth

$499/mo

For aggressive practices.

Unlimited Appeals
Batch Upload (CSV)
Priority Processing

Try Demo

Want a custom audit using your own data? Book a 15-min demo.

They win by making you do busywork.