Denial Letter Analyzer

Turn a denial into a grounded appeal

Upload the denial letter and clinical notes. Paveo extracts the real denial reason, separates the evidence you have from what's missing, and drafts an appeal grounded only in the documented facts — never an invented clinical claim.

Example output

Illustrative

Denial summary

Request denied because the non-biologic DMARD trial duration was not documented; the policy requires a 3-month trial at the maximally indicated dose with a recorded outcome.

Supporting evidence

2
  • RA diagnosis, RF & anti-CCP positive
  • Methotrexate 25 mg weekly documented

Missing evidence

1
  • Explicit 3-month trial duration and outcome

You also receive an editable draft appeal that rebuts the denial and flags missing items in brackets — never invented.

What you get

Every output, grounded in policy

Structured, reviewable, and traceable — never a black-box answer.

Root cause analysis

The actual reason the payer denied — read straight from the letter.

Missing evidence

What the policy needed that the notes don't yet substantiate.

Appeal guidance

The argument that rebuts the denial, mapped to policy criteria.

Editable appeal draft

A ready-to-file letter you own and edit — gaps flagged in brackets, never fabricated.

Grounded by design, not by hope

Paveo extracts facts and drafts in two hard-separated stages, so a clinical claim that isn't in your notes can't make it into the letter. The coordinator stays in control of the final appeal.

Know what's missing before you submit

Help your team reduce avoidable denials and accelerate therapy initiation.