Insurance appeal automation demo
Turn claim data into professional appeal packages.
Import an Excel workbook, choose the right appeal type, review every patient row, and generate consistent Word and PDF letters in one downloadable package.
Demo data is synthetic. No patient information is uploaded to a server.
Current workspaceReady
12Patient rows
8Ready to appeal
$184,310Total billed
Excel loaded Template selected ZIP ready on demand
01
Source data
Review the complete Excel workbook
Every imported column is displayed below in the same left-to-right order as the sample workbook.
PlexoMind sample workbook12 sample patient rows are ready.
12 of 12 selected
| Patient Name | DOB | DOS | Claim Number | Member ID | Payer | Payer Address | Denial Date | Denial Reason | Diagnosis Code | Procedure Code | Authorization Number | Billed Amount | Provider Name | Provider NPI | Provider Address | Appeal Deadline | Status | Appeal | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Amelia Hart | Feb 14, 1984 | May 8, 2026 | DEMO-CLM-1001 | DEMO-MBR-41082 | Northstar Health Plan | 1200 Meridian Ave, Denver, CO 80202 | Jun 15, 2026 | Medical necessity documentation was not included with the original claim. | M17.11 | 27447 | AUTH-NS-88421 | $48,750.00 | Summit Orthopedic Center | 1932457810 | 455 Ridge Parkway, Denver, CO 80206 | Aug 4, 2026 | Ready | View | |
| Marcus Lee | Sep 3, 1972 | May 19, 2026 | DEMO-CLM-1002 | DEMO-MBR-50719 | HarborCare Insurance | 850 Elliott Bay Way, Seattle, WA 98101 | Jun 22, 2026 | Prior authorization number was not matched to the submitted claim. | M54.16 | 64483 | AUTH-HC-57119 | $6,350.00 | Riverside Spine & Pain | 1457692038 | 202 Riverfront Plaza, Seattle, WA 98104 | Aug 8, 2026 | Ready | View | |
| Sofia Ramirez | Nov 27, 1991 | Jun 2, 2026 | DEMO-CLM-1003 | DEMO-MBR-63824 | Meridian Benefit Group | 310 Congress Avenue, Austin, TX 78701 | Jun 28, 2026 | The service was denied as investigational despite the submitted clinical record. | G43.709 | 64615 | AUTH-MB-22984 | $2,980.00 | Clearview Neurology | 1760825149 | 742 Medical Arts Drive, Austin, TX 78705 | Aug 12, 2026 | Needs review | View | |
| Ethan Brooks | Apr 18, 1965 | Jun 11, 2026 | DEMO-CLM-1004 | DEMO-MBR-77213 | Evergreen Health Network | 990 Forest Park Blvd, Portland, OR 97205 | Jul 1, 2026 | The claim was denied for a coding mismatch between the authorization and claim. | I25.118 | 93458 | AUTH-EH-44108 | $14,200.00 | Metro Cardiology Associates | 1285943671 | 88 Heartland Circle, Portland, OR 97210 | Aug 18, 2026 | Ready | View | |
| Priya Shah | Jul 22, 1988 | Jun 23, 2026 | DEMO-CLM-1005 | DEMO-MBR-89456 | Northstar Health Plan | 1200 Meridian Ave, Denver, CO 80202 | Jul 6, 2026 | Additional clinical notes are required to establish medical necessity. | K50.90 | 45380 | AUTH-NS-90412 | $4,125.00 | Lakeside Gastroenterology | 1023475896 | 640 Lakeview Drive, Denver, CO 80209 | Aug 22, 2026 | Ready | View | |
| Olivia Chen | Jan 30, 1979 | Jun 30, 2026 | DEMO-CLM-1006 | DEMO-MBR-91204 | HarborCare Insurance | 850 Elliott Bay Way, Seattle, WA 98101 | Jul 9, 2026 | The billed code was not supported by the diagnosis submitted on the claim. | E11.65 | 95251 | AUTH-HC-60142 | $1,825.00 | Northwest Endocrine Clinic | 1679042158 | 315 Pine Street, Seattle, WA 98101 | Aug 27, 2026 | Ready | View | |
| Noah Williams | Dec 12, 1958 | Jul 3, 2026 | DEMO-CLM-1007 | DEMO-MBR-32017 | Evergreen Health Network | 990 Forest Park Blvd, Portland, OR 97205 | Jul 12, 2026 | Prior authorization was not located for the inpatient surgical service. | M16.12 | 27130 | AUTH-EH-51273 | $42,300.00 | Cascade Joint Institute | 1104386725 | 500 Hawthorne Avenue, Portland, OR 97214 | Sep 1, 2026 | Ready | View | |
| Grace Kim | May 16, 2002 | Jul 5, 2026 | DEMO-CLM-1008 | DEMO-MBR-44890 | Meridian Benefit Group | 310 Congress Avenue, Austin, TX 78701 | Jul 14, 2026 | The biologic therapy was classified as investigational for the diagnosis. | L40.50 | J1745 | AUTH-MB-31705 | $9,750.00 | Hill Country Rheumatology | 1847203961 | 2210 Westlake Boulevard, Austin, TX 78746 | Sep 3, 2026 | Needs review | View | |
| Liam Patel | Aug 9, 1986 | Jul 8, 2026 | DEMO-CLM-1009 | DEMO-MBR-56331 | Northstar Health Plan | 1200 Meridian Ave, Denver, CO 80202 | Jul 17, 2026 | The claim was identified as a duplicate although the corrected coding is distinct. | N20.0 | 52356 | AUTH-NS-93376 | $18,640.00 | Front Range Urology | 1396728540 | 1090 Cherry Creek Road, Denver, CO 80220 | Sep 7, 2026 | Hold | View | |
| Ava Thompson | Mar 24, 1949 | Jul 11, 2026 | DEMO-CLM-1010 | DEMO-MBR-68142 | HarborCare Insurance | 850 Elliott Bay Way, Seattle, WA 98101 | Jul 20, 2026 | The record did not demonstrate the medical necessity of the respiratory treatment. | J44.1 | 94640 | AUTH-HC-67211 | $1,640.00 | Puget Sound Pulmonary | 1568932470 | 780 Madison Street, Seattle, WA 98104 | Sep 10, 2026 | Ready | View | |
| Daniel Garcia | Oct 4, 1994 | Jul 14, 2026 | DEMO-CLM-1011 | DEMO-MBR-73520 | Evergreen Health Network | 990 Forest Park Blvd, Portland, OR 97205 | Jul 23, 2026 | The authorization record referenced a different procedure code. | S83.512A | 29888 | AUTH-EH-58409 | $29,100.00 | Oregon Sports Medicine | 1709426138 | 101 Stadium Way, Portland, OR 97209 | Sep 13, 2026 | Ready | View | |
| Maya Johnson | Jun 28, 1968 | Jul 16, 2026 | DEMO-CLM-1012 | DEMO-MBR-84673 | Meridian Benefit Group | 310 Congress Avenue, Austin, TX 78701 | Jul 25, 2026 | The genomic assay was classified as investigational under the current policy. | C50.912 | 81519 | AUTH-MB-39011 | $4,650.00 | Central Texas Oncology | 1215980347 | 1601 Medical Parkway, Austin, TX 78756 | Sep 15, 2026 | Needs review | View |
Scroll horizontally to inspect all 18 Excel columns.
02
Appeal strategy
Choose a professional letter template
Each option uses a traditional business-letter format without tables.
03
Generate output
Review first or download the full package
Word and PDF versions are included for every patient. Selected ZIP uses the checked rows above.