✦ For Specialty Practices — Orthopedics, Oncology, Cardiology & More

Specialty procedures get denied more.
The stakes are higher.
Your appeals need to be stronger.

ClaimBack generates specialty-specific appeal letters citing the exact clinical guidelines, CPT codes, and insurer policies relevant to your denied procedure. In 3 minutes, not 3 days.

Start Your Free 14-Day Trial →See Pricing

No credit card required · 14-day free trial · Cancel any time

$5,400

average value of a specialty procedure denial

57%

of specialty claim appeals are overturned

45 min

average billing staff time per appeal (before ClaimBack)

3 min

to generate a complete specialty appeal letter

Built for your specialty

ClaimBack knows specialty-specific clinical criteria, coverage policies, and effective appeal arguments for each specialty.

🦴

Orthopedics

Surgery denials, physical therapy limits, joint replacement prior auths

❤️

Cardiology

Cath lab procedures, stress tests, EP studies, device implants

🔬

Oncology

Chemotherapy prior auths, immunotherapy, targeted therapy denials

🧬

Neurology

MRI denials, neurostimulator prior auths, MS treatment denials

🫁

Pulmonology

Sleep study denials, CPAP/BiPAP, pulmonary rehab coverage

🔵

Rheumatology

Biologic infusion denials, step therapy requirements, DMARD appeals

🏃

Sports Medicine

PT session limits, PRP therapy, arthroscopic procedure denials

👁️

Ophthalmology

Cataract surgery medically necessary criteria, retinal treatment denials

What specialty practices face

📋

Prior auth denials at scale

Surgical procedures, expensive biologics, and advanced imaging require prior auths — and insurers deny them at alarming rates, often incorrectly.

⏰

Peer-to-peer calls that never happen

Scheduling a peer-to-peer review takes days. By then, the clinical urgency is lost and the patient's treatment is delayed.

💰

High-value claims abandoned

A $15,000 orthopedic procedure denied is worth fighting. But the 45-minute appeal process per claim makes it economically difficult.

🔄

Step therapy requirements

Insurers force patients to try inferior treatments first, even when clinical evidence supports advanced therapy as first-line care.

How ClaimBack helps specialists

⚡

Procedure-specific letters

Appeals citing ACR, ACS, AHA, and specialty-society clinical guidelines. Every letter is tailored to your CPT code and denial reason.

📊

Track by insurer and procedure

See your win rates for specific procedures by insurer. Know which battles are worth fighting — and which require different strategies.

🔗

Patient self-service appeals

Issue QR cards to patients. They file their own appeals using ClaimBack — reducing administrative load while keeping patients in care.

🏆

Prior auth appeal templates

Pre-built prior auth appeal templates for the most common specialty procedure denials, ready to customize in seconds.

What could your specialty practice recover?

Adjust to see your estimated ROI with ClaimBack.

Calculate Your Specialty Practice ROI

Denied claims per month

Average claim value ($)

$5,500

18.8h

Staff hours saved/month

$82,500

Potential revenue recovered

Simple, transparent pricing

14-day free trial on all plans. No credit card required.

Starter

$49/mo

25 appeals/month

Start Free Trial

✓Specialty appeal letter generation
✓Practice QR referral cards
✓Analytics dashboard
✓Email support

Stop losing specialty revenue to insurance denials

High-value specialty claims deserve high-quality appeals. ClaimBack makes it fast.

Start Your Free 14-Day Trial →

No credit card · Cancel any time · Setup in 5 minutes

Specialty procedures get denied more.The stakes are higher.Your appeals need to be stronger.