80.7% of behavioral health denials overturned on appeal
80.7% of appealed behavioral health denials are overturned, yet only a fraction are ever appealed — the gap between winnable denials and actual appeals is recoverable revenue.KFF, 2024 — Mental Health Parity Analysis
65% of denied claims never resubmitted
65% of denied claims are never appealed or resubmitted, representing billions in recoverable revenue abandoned annually.MGMA, 2025 — Revenue Cycle Benchmarking Report
{TODO} precedent objects in the corpus
Structured precedent records captured across active payer-denial clusters. The corpus grows with each appeal cycle.Stratum corpus, updated weekly

Case law for claims.

Most vendors optimize throughput. We optimize precedent.

Precedent-based denial intelligence for behavioral health. We capture what actually wins — and make it permanent.

See How It Works →
What the payer knows
Payer
Evidence required
Threshold
United
PHQ-9 + GAD-7 scores
PHQ ≥ 15
Cigna
Functional impairment narrative
ADL regression
Aetna
Published literature + ASAM
Dim 5 ≥ 3
BCBS
Treatment plan + med compliance
14-day minimum
Humana
Peer-reviewed outcome data
p < 0.05
What the provider knows
CO-50: “medical necessity not met”
? which evidence failed
? what sequence they expected
? undocumented thresholds
— appeal template from 2019
— biller who knew retired

“The asymmetry isn’t clinical — it’s informational.”

Payers already reason from precedent — they just hope you don’t too.

p. 03 — Why this category exists

Three ways to handle a complex denial. Only one of them scales.

AI RCM automation

Optimizes throughput on the easy 70 percent.

  • Templated appeal letters
  • Drifts in weeks when payer policy changes
  • You do not own the model or the corpus

Manual billers

Hold the institutional knowledge in their heads.

  • Reasoning is durable while they stay
  • Cannot be searched, audited, or transferred
  • One departure resets the team to zero

Stratum

Structures the precedent layer your team is already building.

  • Searchable corpus of payer-denial precedents
  • Updates with each appeal cycle
  • You own the structured asset

Every AI RCM vendor optimizes the easy 70 percent. We operate on the complex 30 percent — where payer enforcement varies, models drift in weeks, and the answer can’t be templated.

See what your denials are hiding.

We start with your data and show you exactly where precedent intelligence recovers revenue.

Schedule a Call Try the ROI Calculator →
HIPAA MHMDA 42 CFR Part 2
Stratum Collective — p. 01