Claim Denial Letter Extractor

The letter date and document number, the letter sender (insurer) and recipient (claimant), the policy number, the claim number, the claim date, the claim amount and currency, the coverage type, and the salutation and signatory. It reports the fields as written and gives no advice on the merits of the denial.

A claim denial letter states that a claim is denied: it gives the primary denial reason, the cited policy exclusion, and the claimant appeal rights. A claim settlement records an agreed payout, and an EOB (explanation of benefits) shows what a health plan paid and what the patient owes. For those use the claim settlement or EOB extractors.

The primary denial reason (enum, such as policy exclusion, ineligibility, insufficient documentation, or not covered), the specific policy exclusion clause, the body summary of the reasoning, the appeal deadline, the appeal instructions, the contact information, and the claim adjuster name each come back as fields.

Yes. A denial reasons table returns each reason id, category, text, cited policy section reference, and sequence order; and a claim history table returns each event date, event type, description, and the claim status after the event.

PDF only, up to 10MB and 100 pages. The letter is processed via the Talonic API for extraction only, is not retained for training, and is not shared.