Cajal is an autonomous appeals team for independent clinics. We call the payer, write the letter, and track the outcome, so your staff can stay with patients, not on hold.
Every denial is a decision: fight it, or eat the loss. For most independent practices, there isn’t time for either. Cajal removes the choice. We appeal every recoverable claim, automatically.
Insurance IVR trees can swallow 40 minutes before a human picks up. Cajal calls in your stead, navigates the menus, speaks to reps, and sends back a transcript.
Dear Appeals Committee,
We are writing to appeal the denial of claim #88241 for patient M.C., dated March 14, 2026, on the basis of medical necessity.
The procedure (CPT 43239) was indicated per ACG 2022 guidelines…
We read the denial code, the clinical notes, and the plan’s own coverage document, then write a letter cited with the policy language and clinical evidence that maps to it.
Before we spend a minute on a claim, Cajal predicts whether it’s worth appealing, and why similar claims succeeded or failed in the past 90 days.
American clinics write off billions every year in denials they had every right to win. Not because the appeals fail, but because no one has the time to send them.
Our billing lead used to spend Thursdays on hold. She now spends Thursdays with patients. I can't overstate what that changed for us.
Cajal knows exactly what payers need to see. Our appeal success rate roughly doubled in the first quarter, and we stopped writing off small claims entirely.
No integration sprint. No ops overhead. Forward your denials and we’ll handle the rest. Cajal is charged only when we recover, so there is zero downside to turning it on.
Try for free →Connect your clearinghouse or forward a single email. No IT ticket required.
We only store the denial itself: codes, payer info, and the appeal we sent. No patient charts, no claim history, nothing more than we need.
1 credit = $1. Buy a bundle, watch the meter, cap or cancel anytime.
Review every letter before it sends, cancel a call mid-stream, or pull the plug anytime.
Same product on every tier. Pick the credit bundle that fits your volume, or just pay as you go.
Sign up, forward a denial, and watch Cajal work. No commitments, transparent credit pricing.