AI for Appeal and Reconsideration Status Calls
CuraVoice calls the payer to check on a submitted appeal and hands the call to your staff when a representative answers.
The problem
Appeals disappear into payer queues for weeks. Checking on them means a call for each one, usually to confirm only that it was received and is still in review.
How the call runs
- Open appeals are loaded with their submission dates and reference numbers.
- The agent dials the appeals or claims line.
- It works through the menu, enters the identifiers and holds.
- Your staff member joins to get the status and any reference for the call.
What your staff do
Your team records the status and escalates the appeals that have passed the payer's own deadline.
Getting started
The agent works from a CSV export of your work queue, so no integration is needed to begin. Every call is recorded and logged with its outcome. See how payer calling works.
Common questions
How often should appeal status be checked?
That depends on each payer's stated turnaround. Automating the call makes a regular check affordable where it used to be skipped.
Does the AI speak to the payer representative?
By default, no. When a live representative answers, your staff member is warm-transferred into the call to have the conversation.
Related
Run it against your top payers
Tell us which payers your team calls most and we will show you a call from dial to hand-off.
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