Denials, downcoding, and clawbacks — your appeal rights, mapped
Somewhere in your remittances there are denials that were never appealed, 90837s quietly paid as 90834, and maybe a recoupment letter with a deadline you'd rather not think about. This page is the honest map: what has appeal rights, what doesn't, and what to do first — written for clinicians, in plain English, with sources you can check.
Guides
The Aetna 90837 change: what you can't appeal — and what you still can
The rate policy itself has no appeal path — we say that plainly. But downcoded claims, denials, and clawbacks around it do carry rights. The honest map of both halves.
Read the guide Fixed fee · first batch of 10$149 denial & clawback file review
Deadline details depend on the applicable plan and actual notice. Check the source-verified appeal directory and official instructions.
Reserve a spotWhat this track is
IntelClaim's clinician track focuses on the paperwork fights that quietly drain a practice: unappealed denials, downcoded sessions, and recoupment/offset notices. The approach is the same one we take everywhere — rights and deadlines first, honest boundaries second, no promises ever. If something in your file isn't worth pursuing, that's what you'll hear; telling you when not to spend money is part of the job.
Get updates when payer rules change
Occasional, clinician-focused updates on denial, downcoding, and clawback rights — no patient marketing, no spam. Your email goes to a third-party form service (not the IntelClaim product database).