Skip to content
Just Healthcare

For patient access, billing, and clinical teams

Responder™

Build a stronger appeal without starting from a blank page.

Responder™ uses the denial, clinical record, payer policy, guidelines, and supporting evidence to draft a patient- and payer-specific appeal for review.

app.justappeals.org/tools/responder-photonLive
Denial letterAetna · CO-50

“Stereotactic body radiation therapy for oligometastatic prostate cancer is considered experimental and investigational because its effectiveness has not been established. Requested: 77373 × 5.”

Patient
R. Chen
Diagnosis
C61 · 3 lesions
Appeal by
Nov 12
Stage
Initial
Tool calls
Read denial letter1 tool call
Appeal letterInitial2nd appealIROALJ

Drafting0.0s
Export PDF

What it solves

A strong appeal has to answer the actual reason for denial.

Generic templates create more work and miss what matters. Responder™ builds the argument around the patient, the policy, the denial reason, and the evidence. It prepares the draft. Your team checks the facts, makes any changes, and decides when it is ready.

  • Answer the denial

    Address the payer's stated reason directly instead of rebuilding a generic letter.

  • Personalize the case

    Use the patient's diagnosis, treatment plan, and relevant clinical facts.

  • Support the argument

    Connect policy language, guidelines, and evidence in one review-ready draft.

A strong appeal has to answer the actual reason for denial.

A personalized appeal in minutes instead of days.

Recover · Responder™

What changed for one program

More approvals. More patients treated.

+0%

Absolute increase in commercial approvals

  • +0%

    More patients on daily census

  • +0%

    Shift toward commercial payer mix

  • <1

    Additional patient a year to pay for the products

Figures are rounded benchmarks from a published authorization program. They are benchmarks and illustrative estimates, not guaranteed outcomes. Source: Int J Part Ther, 2023

How it works

From denial letter to patient-specific appeal

Responder™ prepares the draft. Your team checks the facts, makes any changes, and decides when it is ready.

  1. Step 01

    Add the denial

    Bring in the payer letter and identify the appeal stage and deadline.

    Denial · stage · deadline
  2. Step 02

    Connect the record

    Use the clinical notes, treatment plan, and other supporting documents.

    Notes · plan · documents
  3. Step 03

    Build the argument

    Address the denial with the applicable policy, guideline, and evidence.

    Policy · guideline · evidence
  4. Step 04

    Review and send

    Check the patient-specific draft, approve it, and export the final letter.

    Review-ready appeal

What your team gets

A clear appeal draft built for the patient, the payer, and the denial in front of you.

  • 01

    Denial reason and deadline

    The payer's stated reason, the appeal stage, and the deadline, identified from the letter.

  • 02

    Patient-specific argument

    Built around the patient's diagnosis, treatment plan, and relevant clinical facts.

  • 03

    Policy and evidence citations

    Policy language, guidelines, and published evidence connected in one draft.

  • 04

    Review-ready appeal letter

    A clear draft with cover letter, ready for your team to check, approve, and send.

Start with the problem that hurts most

Show us where your team is losing time.

We will show you which product fits the work, what your team would see, and how the solution can support the way your organization operates today.