From remittance file to filed appeal — in minutes
The whole point is to make appealing cheap enough that no recoverable denial gets written off. Here's the workflow.
Three steps, end to end
Drop in your remittance file — no integration.
Sorted by recoverable $ × win probability.
Payer-specific appeal, generated in seconds.
Upload your remittance
Drop in an X12 835 ERA file (exported from your PM or clearinghouse) or an EOB PDF. Remitavo parses every claim line — billed, paid, patient responsibility, and the CARC/RARC denial codes behind each adjustment. No EHR or clearinghouse integration required.
Get a ranked worklist
Every denial is scored by recoverable dollars × likelihood of overturning, based on the denial code and payer. Your team sees exactly which claims are worth fighting first — instead of working a random queue or abandoning the pile.
Generate payer-specific appeals
For each denial, Remitavo drafts an appeal that cites the specific payer's published medical policy and the relevant documentation — the difference between a 50%+ overturn rate and a generic form letter. Export, print, or fax, with the filing deadline tracked.
Standardized data in, recoverable revenue out
Reads 835 & EOB
Parses X12 835 remittance files and OCRs EOB PDFs into structured denials — no manual data entry.
Maps CARC/RARC
Every denial reason code is mapped to its appeal strategy and the relevant payer policy.
Tracks deadlines
Appeal windows vary by payer (60–180 days). Remitavo flags what's expiring so nothing is lost to the clock.
Questions
Do I need to integrate with my EHR or PM system?
No. Remitavo works from the 835 remittance files and EOBs you already export. There's nothing to install to get started — connect a clearinghouse later if you want to automate ingestion.
What denials can it handle?
Common administrative and medical-necessity denials — medical necessity (CO-50), missing information (CO-16), non-covered (CO-96/97), timely filing, bundling, and prior-auth among them. Coverage expands as our payer-policy library grows.
How accurate are the appeals?
Every appeal is payer-specific and cites the carrier's own policy language. You review before sending — Remitavo drafts, your team approves. Nothing is filed automatically without your sign-off.
Do you need our patient data?
Not for the free audit — it runs on de-identified or sample data. We don't handle protected health information at this stage.
See what you're leaving on the table — free
Send a sample remittance file and we'll return a ranked recovery worklist plus three ready-to-send appeal letters. No commitment, no integration.