Claim Denial Appeal for Urology Practice Managers with Epic

The Problem

Urology denials pile up in athenahealth — each appeal takes 45 minutes of billing-team time and most die in the to-do pile because there aren't enough hours.

What We Build in Epic

AI classifies denials by reason code, drafts the appeal letter with chart-cited clinical support, resubmits with corrected info, and tracks the payer response — appeal capture rate doubles. Purpose-built for teams running Epic — uses the native API or agent integration so nothing leaves the system of record.

Epic Integration Approach

1

Audit your Epic configuration

We map the specific Epic objects, custom fields, and workflows the automation needs to touch for your urology practice.

2

Build on the Epic API or agent

Integration happens inside Epic — no data leaves the system, no parallel tool for your team to learn, no license changes.

3

Human-in-the-loop handoff

Every automation routes exceptions back to a human in Epic with enough context to act — AI handles the 80%, your team owns the judgment calls.

See this running in your Epic instance

30-minute call. We'll look at your actual Epic setup and show exactly how this workflow fits.

More About This Workflow

Claim Denial Appeal for Urology Practice Managers

AI classifies denials by reason code, drafts the appeal letter with chart-cited clinical support, resubmits with corrected info, and tracks the payer response — appeal capture rate doubles.

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