Resources to Decrease Denied Medicare Claims.
Home | Contact Us | Member Benefits | Search | Member Area
Become a member & get immediate access to all of our resources.

Take a Free Tour
About ALO
 Who Should Join
 Download Samples
 Member Benefits
 Terms & Privacy Policy
 Take a Tour
 Member Comments
Discussion Forum
 Appeal Letters
 Audio Conferences
 Discussion Forum
 Download Library
 Articles & Case Studies
 State Resources
 My Membership
 Providers' Rights
 Benefit Disclosure
 Utilization Management
 Medical Necessity
 Incorrect Payments
 Prompt Pay
 Treatment Excl/Limits
 Refund & Recoupments
 Specialty Care
 Contract Negotiation
 Other Topics
Visit our Online Store.
Home | Medicare Denials

Why Outsource Denied Medical Claims?

Add Legal and Insurance Experience to Your Arsenal Against Insurers

Action over acceptance

Action over acceptance is what Appeal Solutions is all about. Insurance companies deny thousands of claims a year with what appears to be substantial evidence to support such nonpayment. They do this knowing that most denials are accepted without question or action. They know many medical providers do not have the time, legal expertise and insurance industry experience to investigate the basis, or lack thereof, of claim denials. They know, too, that the medical provider has an alternative payor to pursue. Appeal Solutions provides the action.


Signup Today   or   Download Sample Appeal Letters


Many such claims end up with a collection agency which lacks the legal and insurance experience to effectively pursue medical appeals. Appeal Solutions provides the experience.

At Appeal Solutions, we take a hard look at every denial. We demand the proof collected by the insurance company to substantiate the denial. We find the case and statutory laws which apply to the denial. We review the patients' policy language for any wording which indicates the claim is payable. We appeal your claims based on the very best combination of these factors. We give you an alternative to immediate collection agency placement.

Signup Today   or   Download Sample Appeal Letters


What does that mean to your business office? Revenue!

The most important reason to place with Appeal Solutions is because of results. Appeal Solutions successfully secures full benefits of claims previously denied. As you know, you are far more likely to accomplish 100% reimbursement on accounts wherein the insurance benefits are secured first. Appeal Solutions also investigates the potential for other third-party payors, such as victims assistance, homeowners and auto coverage, state guarantee funds and nonprofit medical assistance funds. We have even successfully pursued interest payments from insurance carriers who fail to release payment as mandated by applicable timely payment statutes. The efforts on our part lessen the burden of uncollectable accounts on your facility's financial health.


Patient Relations

Securing the services of Appeal Solutions can be an enormous benefit to your patients. An account involving denied insurance may be a small matter to some hospitals. However, to the patient, already beset with a medical malady, a denied insurance claim can be a devastating blow. It is not uncommon to receive thank you notes from grateful patients after successfully resolving an insurance dispute in their favor. They will thank you, the provider, too, for securing such a valuable service.

No Risk

Appeal Solutions handles accounts on a contingency basis, thereby eliminating any risk on your part.


The healthcare reimbursement environment is ever changing. Appeal Solutions is dedicated to keeping abreast of the many changes involving managed care, ERISA, state legislative mandates and the multiple other dynamic areas of quality healthcare delivery. An alliance with Appeal Solutions gives you access to the information you need to keep your business office running with these changes. We are committed not only to excellent service on account placements, but to a working partnership with the goal of smart financial practices for the benefit of the patient, the hospital and society's good health.

Sign Up Today


Download Letters

Signup for immediate access to our database of 1600+ Appeal Letters
  • 1600 Professionally Written Appeal Letters
  • Hundreds of Denial Management Articles & Case-Studies
  • Knowledge-building online seminars, presentations & training tools
  • State Resources with links to court cases, state statutes
  • Complete access for less than a dollar per day.
Download free sample appeal letters from our database of 1600+ Letters.
  • Medical Necessity
  • Timely Filing
  • Preexisting Conditions
  • Lack of Precertification
  • Benefit Reductions
  • Refund Requests
  • Stalled Claims
  • Specialty Care Appeal Reviews
  • Workers' Comp
  • Verification of Benefits Issues
  • Coding Issues