What it needs from you, what it covers, what it does with your data, and what it costs.
Just the EOB or denial letter. That's the only required document. You can add clinical notes, prior auth records, or fee schedules to strengthen the appeal, but you don't need them to generate a first draft.
Workers Compensation, Physical Therapy, Orthopedics and Surgery, Behavioral and Mental Health, Pain Management, Occupational Medicine, Gastroenterology, Ambulatory Surgery Centers, and general medical and billing practices. The core knowledge base covers the denial types and payer rules common across these specialties.
The AI is trained on current state insurance laws and payer rules, updated continuously as they change.
No. Bill Matters drafts the appeal. Your team reviews it, edits it if needed, and submits it through your existing process. Nothing goes to a payer without your team's involvement.
Your first appeal is free, no card required. After that we take 6% of revenue actually recovered by an appeal we built. If nothing is recovered, you owe nothing. No setup fee and no subscription.
The 6% figure is our current starting rate, and final terms depend on your volume and mix. See pricing.
Yes. Data is encrypted at rest and in transit. Access is role-controlled and multi-factor authentication is required. Every action is logged. We operate under HIPAA-aligned safeguards with a signed Business Associate Agreement in place. Your data is used only for your appeals: never shared with another user or used to improve results for anyone else. See the full list of controls.
Yes. You can optionally provide your own payer-specific policies, templates, and past successful appeals. Bill Matters uses them to sharpen appeals for your specific situation. These are kept separate from every other user's data.
No. Bill Matters handles one specific part of the revenue cycle: appealing denied claims. It works alongside whatever billing system, EHR, or practice management software you're already using. Upload the EOB directly; no integration required to start.
That depends on your existing workflow with the payer. Bill Matters handles the appeal generation side. Whether the payer approved and paid is tracked on your end or through your billing system. We're building automated outcome tracking for future phases.
Book a short demo and bring a real denial if you have one. We will run it live and show you exactly how the appeal gets written.