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Denialbase is HIPAA-compliant infrastructure for appealing denied insurance claims. This documentation covers the product, integrations, API, and our security & compliance posture.

Who this is for

Billing Staff

Upload EOBs, review AI-detected denials, and file appeals with one-click letter generation.

Practice Admins

Invite teams, enforce 2FA, configure notifications, review audit logs.

IT & Integrations

Connect EHRs via FHIR, configure SSO/SAML, subscribe to webhooks, call the API.

What Denialbase does

Health insurers deny 14% of in-network claims on average — and most are never appealed because the workflow is slow, paper-heavy, and requires specialized expertise. Denialbase automates the 80% of each appeal that is mechanical:
1

Detect

Upload an EOB, 835, or denial letter. Our LLM pipeline identifies the denial reason, CARC/RARC codes, deadline, and the patient/claim context.
2

Strategize

The Strategy Advisor recommends an appeal path (peer-to-peer, formal written appeal, IRO) based on the denial type, plan rules, and state/federal regulations.
3

Draft

Generate a citation-backed appeal letter with pulled medical records, policy citations, and clinical rationale — reviewed by a human-in-the-loop before sending.
4

Submit & Track

Submit via DocuSeal, fax, or portal. Track status, deadlines, and outcomes in one place. Learn from every resolution to improve future recommendations.

Jump straight in

5-minute quickstart

Sign in, upload your first EOB, and review your first AI-detected denial.

API Reference

REST API for EHR integrations, clearinghouses, and custom workflows.

Trust Center

HIPAA compliance, SOC 2 readiness, BAAs, subprocessors, incident response.

Insurer guides

Payer-specific denial patterns, appeal requirements, deadlines.