ResolveRCM | Appeal, Reconsideration, and Denial Packets in Minutes

Try ResolveRCM on a real denial — free for 7 days See a real appeal packet

Aerial view of a calm green pine forest

HIPAA-first · Medical & Dental

Resolve every denial.

Complete appeal packets — letter, MDM summary, and checklist — assembled in under two minutes. Built from your inputs every time, for medical and dental denials. Never templates.

7-day free trial · No credit card · Exactly what gets submitted to payers

Built by operators who've worked real denials

HIPAA-conscious by design Packets in minutes EHR-agnostic — no integration Multiple patents pending

Two lanes, one engine

Medical and dental denials,
worked the same calm way.

Different payers, different rules — one platform. Whatever the denial, ResolveRCM turns your inputs into a complete, submission-ready packet.

Medical billing

Medical-necessity, downcoding, timely-filing, and authorization denials across specialties — with MDM-style clinical support.

  • Specialty-aware clinical rationale
  • Payer-specific appeal framing
  • CPT / ICD coding validation

Dental billing

Missing-tooth clause, frequency limitations, and medical-necessity dental denials — framed for dental payers and plan language.

  • Plan-clause & clinical narrative
  • CDT code support
  • Frequency & necessity argumentation

Both lanes converge on the same packet engine — letter, summary, coding, and checklist, every time.

HIPAA-conscious by design

The privacy line your patients deserve.

ResolveRCM is built with privacy and security principles appropriate for healthcare documentation workflows, with controls aligned to industry standards.

Protected health information stays in your browser — full stop. Only de-identified clinical facts ever reach the AI, and your PHI is merged back in locally before you export. It's the difference between a tool that's convenient and one your compliance team can actually approve.

PHI never leaves your device

Stored only in your browser's local storage — never sent to our server or the AI model.

Smart PHI detection

Automatic detection warns you if patient names, dates, or identifiers appear before anything is sent to the AI.

Role-based access

Right people, right features

Encryption everywhere

In transit & at rest

Activity logging

Full audit trails

SOC 2 aligned

Trust principles

Read our security & HIPAA approach
Multiple patents pending

ResolveRCM uses a privacy-isolated architecture designed to generate compliant appeal packets without exposing PHI to external AI systems.

Our approach to separating protected health information from AI processing is the subject of multiple pending patent applications.

Aerial view of a winding path through a calm green forest

The Calm Path Forward

How it works

From denial to packet
in four steps.

01

Enter details

Denial reason, claim context, and de-identified clinical facts.

02

Select options

Payer, specialty or dental plan, and the service in question.

03

Generate packet

A complete packet: letter, MDM summary, coding, and checklist.

04

Export & submit

Download Word or PDF and submit through your billing workflow.

ResolveRCM does not submit claims or integrate directly with EHRs.

A river winding through a green valley

The same documents — just faster

Built from the documents billers already submit.

No new workflows to learn. Just better appeals, more consistently — and a lot faster.

The deliverable

A packet worth submitting — not a paragraph to paste.

Each packet pairs a structured appeal letter with a clear documentation framework — so reviewers can quickly understand the case you're making.

  • Payer-specific formattingBCBS, Aetna, Cigna, Humana and more — framed the way each reviewer reads.
  • Multiple specialty supportPain, ortho, primary care, neuro — plus dental plan language.
  • Word & PDF export, ready to submitWorks with any payer portal, clearinghouse, or EHR workflow.
See a full sample packet
Sample appeal packet document

All screenshots and examples shown use fictional data for demonstration purposes only.


Core capabilities

Documentation for every
denial scenario.

Generate professional, defensible documentation — built from your inputs, not boilerplate.

Appeal packet generation

A complete packet for a denied claim — appeal or reconsideration letter, structured supporting documentation, and export-ready files for submission.

Medical necessity & MDM summaries

MDM-style clinical narratives that clearly summarize medical necessity, prior treatment, and clinical decision-making — designed to support appeal review.

Denial reason intelligence

Turn denial and remark codes into a focused checklist of what to address and include — building more complete packets without guesswork.

ResolveRCM does not submit claims or integrate directly with EHRs. It's an EHR-agnostic tool library you use alongside your existing systems.


Built for teams

Invite your whole
billing team.

Designed for billing offices of any size. Share a simple invite code and onboard everyone in minutes — no per-seat pricing, no user limits.

  • Simple invite codes

    Share an 8-character code — team members join your organization instantly.

  • Role-based permissions

    Owner, Manager, and Member roles with appropriate access levels.

  • Centralized billing

    One subscription for the whole organization — packet-based, not per-seat.

Team members

5 members
S

Sarah Johnson

[email protected]

Owner
M
Manager
A

Amy Rodriguez

[email protected]

Member
Invite code: AB3X7K9P
Fresh green leaves and ferns

Calm by design

Less rework. Fewer write-offs. Healthier revenue.

A steadier appeals process your whole team can rely on.

A young plant sprouting — recovered revenue growth

Recover what was wrongly denied.

Consistent appeals, fewer write-offs, healthier revenue.

Built for real billing workflows

For the teams who live in the denials queue.

Billers & appeals specialists

Stop rebuilding every appeal from scratch — generate a complete draft in minutes.

RCM managers

Consistent, complete output across the whole team — and across medical and dental.

Practice operations

Recover revenue without new integrations, new vendors, or workflow upheaval.

Free resources

Free tools to strengthen
your appeal process.

Templates, analysis, and a real sample packet — 100% free, no sign-up required.

No credit card required

Try ResolveRCM on a real denial — free for 7 days.

Full access to every feature for 7 days. See exactly what gets submitted to payers before you pay anything.

7-day free trial No credit card required Cancel anytime

ResolveRCM provides documentation assistance and does not guarantee payer outcomes.