Built exclusively for behavioral health

Payers deny. You appeal. We make sure you win more.

Overturn is the denial recovery engine for behavioral health. We ingest your remits, write chart-grounded appeals for every denial worth fighting, file them on time with your approval, and track each one until the money lands.

Send us 10 denials, free audit See how it works

PHP, IOP, residential, and detox. Commercial and out-of-network. Contingency pricing, zero risk to your facility.

app.overturn.io/register
Pipeline
Appeal register
Deadlines
Status watcher
Intelligence
Denial patterns
Payer playbooks
Recoveries
Appeal register · active Illustrative interface
Every denial, its filing deadline, and where the appeal stands
ClaimPayerLevel of careAt stakeStatus
A-1042AnthemPHP$9,800Appeal filed
A-1046UnitedHealthcareIOP$6,300Deadline in 9 days
A-1038CignaResidential$14,200Overturned, paid
A-1049AetnaDetox$5,100Drafting
80.7%of appealed prior-authorization denials were overturned
11.5%of denials were ever appealed at all
$5k to $30ktypical value of one overturned PHP, IOP, or residential claim
85 to 90%of every recovered dollar stays with your facility

Medicare Advantage prior-authorization data, 2024. Source: KFF. Claim values are typical behavioral-health episode ranges, not a guarantee of results.

How it works

From remit file to recovered dollars, without burying your team

Four steps. You send the denials and the charts. We do the fighting, and nothing gets filed until a human on your side signs off.

1

Ingest your 835s and EOBs

Send us your remits and denial letters. Overturn parses every CARC and RARC code and flags which denials are worth appealing and what they are worth.

2

Chart-grounded appeal letters

We write each appeal from the actual record: ASAM criteria and payer medical-necessity policy, argued fact by fact. No template with the names swapped.

3

Filed with your approval

Every letter is queued for a human on your team to approve before it goes out. We submit through the payer portal and log the confirmation.

4

Tracked until it pays

The status watcher follows each filed appeal, escalates upheld denials to the next review level while the window is open, and ties every win to the remit.

The product

Appeals argued from the record, deadlines that never slip

Medical necessity, timely filing, authorization, and coding denials each get their own playbook. Every filing window is tracked from the denial date forward.

Every appeal built on chart evidence and payer criteria

Medical-necessity denials get argued clinical fact by clinical fact against the payer's own published policy and ASAM level-of-care criteria. Administrative denials get the strategy that actually moves them.

  • Letters grounded in the chart, ASAM criteria, and payer policy
  • A specific strategy per CARC denial reason code
  • Human approve-to-send before anything is filed
Deadline board Illustrative
AppealWindowDays left
A-1049 Aetna180-day internal164
A-1046 United180-day internal9
A-1051 AnthemExternal review112

Nothing expires quietly. Escalations fire before windows close.

Filed is not finished. We watch until it pays.

The status watcher checks every filed appeal and flags movement: pended, upheld, overturned, paid. Upheld appeals get escalated to the next level while the window is still open, so a first no is never the last word.

  • Status checks on every filed appeal
  • Escalation path: internal, second level, external review
  • Recovery ledger ties each win to the posted remit
Status watcher Illustrative
AppealLast checkedState
A-1038 CignaTodayOverturned, paid
A-1042 AnthemTodayUnder review
A-1044 UnitedYesterdayUpheld, escalating

Every state change is logged and surfaced to your team.

Pricing

You pay a percentage of what we recover. Nothing else.

No setup fee, no monthly retainer, no per-appeal charge. If we do not overturn the denial, you do not pay. The economics only work for us when they work for you.

Contingency.
Zero risk to your facility.

Our fee is a share of dollars actually recovered on overturned claims. Facilities keep 85 to 90 percent of every recovered dollar.

Compliance

Built for the way behavioral health has to handle records

We treat your patient data the way you are required to. Everything below is part of how Overturn operates, not an afterthought.

HIPAA and signed BAA 42 CFR Part 2 handling for SUD records SOC 2 Type II in progress Minimum-necessary access controls EKRA-aware fee structure

We sign a Business Associate Agreement before touching a single record, hold SUD records to 42 CFR Part 2, and structure our fee as a fair-market-value billing service rather than compensation tied to patient volume or referrals. This is a description of how we operate and is not legal advice.

"Most denied behavioral-health claims are never appealed. Payers know that, and it is priced into how they deny."
Why Overturn existsAppeal everything worth appealing

Send us 10 denials. We will show you the money.

A free denial review, no commitment. We will tell you what is winnable, what it is worth, and how fast we can start.