This startup provides an online platform that simplifies the filing and appealing of health insurance claims through automated processes. By streamlining these procedures, policyholders can achieve faster reimbursement and reduce the administrative burden associated with claims management.
Funding
$230K raised to dateRaised to date based on public sources. This may differ from the amount the company actually raised and is based only on what is publicly available on the internet.
Founders
Product
Problem
Approximately 1 in 6 healthcare claims in the U.S. are denied annually due to complexities in the health insurance system, leading to delayed payments for providers and unexpected expenses or financial hardship for patients. Resource constraints and process complexity often prevent successful reprocessing or appealing of these denied claims.
Solution
aJust provides a service that simplifies the process of filing and appealing denied health insurance claims for individuals, employers, doctors, and hospitals. The company leverages a team of experts with experience in healthcare insurance and claims management to navigate the appeals process. aJust handles the entire process of appealing denied claims, from preparing the appeal letter to managing additional paperwork and internal/external reviews. They operate on a performance basis, charging a percentage of the recovered amount only if the appeal is successful.
Target Audience
aJust targets individuals, employers, doctors, and hospitals seeking assistance with filing and appealing denied health insurance claims.
Features
- Claim filing assistance to ensure accurate initial submissions.
- Management of internal and external appeals for denied claims.
- Expertise in navigating complex health insurance processes and regulations.
- Dedicated team of professionals specializing in healthcare claim appeals.
- Handles appeals for various claim denial reasons, including lack of prior authorization, missing information, and services not covered.
- Assistance with appeals of prior authorization denials.
- Secure data handling following HIPAA-compliant guidelines.