California workers' comp · DME appeals

Denied claimsbecomewinning appeals.

When a carrier denies the DME you supplied, whether that’s the original denial or an extension denial, Strata reads the utilization-review notice and drafts an MTUS-cited appeal letter. Every citation is checked against its source. Your team reviews, the physician signs, you send.

See My First Appeal

See example letters →

HIPAA-compliant
Encrypted in transit & at rest
Every citation checked against its source

Ready to sign

The actual product, on a demo case, drafted and ready to sign.

Denials pile up. Patients wait.

Each one is equipment you already delivered and revenue stuck in aging, waiting on an appeal somebody has to write.

E0218 · UR NON-CERT

Denied

E0650 · UR NON-CERT

Denied

L1832 · EXTENSION DENIED

Denied

E0730 · UR NON-CERT

Denied

E1399 · DOCS INSUFFICIENT

Denied

E0218 · UR NON-CERT

Denied

Utilization review · UR-2026-0512May 12, 2026

Notice of Non-Certification

Claimant[Patient]DOI[Date of Injury]HCPCSE0218 · Cold compression

Request: E0218 cold compression unit, 30-day rental, post arthroscopic repair.

Determination: NOT CERTIFIED.

Rationale: submitted documentation does not establish medical necessity for the requested duration.

Guideline applied: MTUS, Chronic Pain Medical Treatment Guidelines.

Appeal draft · Strata-A-0512Ready to sign

Appeal Letter

The determination applies the chronic pain guideline to a post-surgical request. The applicable section is the Postsurgical Treatment Guidelines.

MTUS citation8 CCR §9792.24.2(c)(1) · Postsurgical Treatment Guidelines, Knee. Cold therapy is supported for the immediate post-operative period.Verified against source

The operative report and prescribed post-op protocol, quoted above, establish medical necessity under the correct guideline.

Upload the denial. Review the draft. Send.

How it works

The appeal workflow

You upload, Strata writes, the treating physician signs, the insurance decides, you record it. All five happen in the same place.

1

You upload the denial

Drop in the denial the insurance sent. That's the only input Strata needs to write the letter.

The real Strata upload screen: a drop zone for the denial PDF.

2

Strata writes the letter

A complete MTUS-cited appeal in about two minutes, every quoted passage verified against its source.

A drafted appeal letter, MTUS citations inline.

3

You review, the treating physician signs

Side-by-side with the denial. Edit any paragraph, swap citations, then the physician signs off.

The verification bar showing 12 of 12 quoted passages matched to source, with export actions.

4

The insurance decides

Send it through your usual channel. The case waits under “Any word back?” until the determination arrives.

The 'Any word back?' strip listing cases awaiting a decision.

5

You record the outcome

Overturned or upheld, record it in one click. Your overturn record builds with every case you run.

The outcome card: Overturned, Partially overturned, Upheld.

Every case, one list

And the case lands in Activity.

The real Strata Activity tab: every appeal in the organization, newest first, including cases awaiting review, cases awaiting a decision, and cases overturned.

Every appeal your organization has ever sent, newest first. All of it encrypted at rest, audit-logged, and searchable when the next denial looks like one you’ve already beaten.

Getdenialsoverturned

Upload the denial, then review the letter Strata drafts: MTUS-cited, every quote checked against its source, ready for the physician’s signature. Spend less time drafting appeals and more overturning them.

See My First Appeal

See example letters

HIPAA-compliantEncrypted in transit & at restFull audit trail