Answers for your revenue recovery team.
Q: Does SkipperWin guarantee my appeal will be approved?
No. No one can guarantee that — and we'd be skeptical of anyone who claims they can. What we do is build the strongest possible clinical argument from the information you provide. Industry data shows 81.7% of appealed behavioral health denials get overturned; the biggest reason claims stay denied is that they're never appealed at all.
Q: Does Keshara write my appeal letters personally?
No. SkipperWin generates the letter — Keshara doesn't hand-write appeals for individual practices. If a letter doesn't generate successfully, we'll troubleshoot together rather than write it manually.
Q: What payers do you cover?
UHC/Optum, Aetna, and Cigna nationwide, and BCBS in Massachusetts, with more states and payers being added deliberately over time. See our [Payers We Support] page for full detail.
Q: What if my denial isn't a medical necessity issue?
SkipperWin covers more than medical necessity. Billing and coding errors, authorization issues, and other procedural denials get clear, specific guidance — not a generic letter that wouldn't actually help. Medical necessity denials are where we go deepest, since that's the argument that requires real clinical judgment.
Q: Do I need clinical training to use SkipperWin?
No. The intake is built as a guided series of questions — the same information a utilization reviewer looks for — so an office manager or non-clinical staff member can complete it accurately, without needing to translate clinical judgment into the right words themselves.
Q: Is patient information safe with SkipperWin?
SkipperWin is built to collect only the clinical information needed to write your appeal — not patient names, dates of birth, claim numbers, or other direct identifiers. Those get added manually to the letter afterward, by you, outside SkipperWin. This significantly reduces the amount of protected health information that ever touches our systems.
Q: How much does SkipperWin cost?
Founding Practices get full access during Beta at no cost, then a locked low rate for their first year. Standard Practice pricing is available on request — see our [Pricing] page, or [Contact Us].
Q: What happens during my Beta week?
Each Beta Practice gets one week or 3-5 real generated appeal letters, whichever comes first, with direct support from Keshara. It's designed to be a real, hands-on trial — not a demo.
Q: How is this different from other AI appeal tools?
Most tools work off a simple lookup: denial code plus CPT code equals a template. SkipperWin was built the other way — starting from real clinical judgment (a registered nurse with utilization review experience), so medical necessity arguments are actually argued, not assembled from a formula.