Signature-ready medical-necessity appeals in under 30 minutes

We draft clinician-ready appeal packets that connect clinical documentation to relevant coverage criteria — reducing prep time from hours to minutes.

No EHR change required • Clinician review + sign-off • Start with a de-identified sample

What provider groups get

Faster Drafting

First draft in minutes, formatted for clinician review.

Less Back-and-Forth

Evidence mapping makes sign-off faster.

Submission-Ready Packets

Export-ready narrative and supporting references.

From denial to signature in three steps

Upload Denial + Docs

Denial letter + relevant chart documentation.

Manoa Drafts the Appeal

Structured narrative + supporting references.

Clinician Reviews + Signs

Quick review flow designed for provider time.

Designed for healthcare environments

Built for provider-group workflows where billing initiates and clinicians review/sign — without changing your existing systems.

PHI-aware access controls

De-identified pilot option

Reviewable structure (audit-friendly)

Works alongside existing systems

Proven ROI from case studies

< 30 min

Time to Appeal

> 50%

Overturn Rate

> 90%

First Pass Completeness

You've got questions? We got answers

What inputs do you need to draft an appeal?

The denial letter plus the relevant chart documentation (notes, orders, imaging/labs as applicable). We’ll tell you what’s missing before drafting.

What inputs do you need to draft an appeal?

The denial letter plus the relevant chart documentation (notes, orders, imaging/labs as applicable). We’ll tell you what’s missing before drafting.

What inputs do you need to draft an appeal?

The denial letter plus the relevant chart documentation (notes, orders, imaging/labs as applicable). We’ll tell you what’s missing before drafting.

Do we need to change our EHR or workflow?

No. Manoa fits alongside your current process—billing team initiates, clinicians review/sign.

Do we need to change our EHR or workflow?

No. Manoa fits alongside your current process—billing team initiates, clinicians review/sign.

Do we need to change our EHR or workflow?

No. Manoa fits alongside your current process—billing team initiates, clinicians review/sign.

How do you handle PHI and compliance?

We support PHI-aware access controls and can start with a de-identified sample for evaluation. We’ll align to your security requirements during onboarding.

How do you handle PHI and compliance?

We support PHI-aware access controls and can start with a de-identified sample for evaluation. We’ll align to your security requirements during onboarding.

How do you handle PHI and compliance?

We support PHI-aware access controls and can start with a de-identified sample for evaluation. We’ll align to your security requirements during onboarding.

What does onboarding look like?

Typically a short kickoff, a workflow review, then a pilot with a small set of denial types before expanding.

What does onboarding look like?

Typically a short kickoff, a workflow review, then a pilot with a small set of denial types before expanding.

What does onboarding look like?

Typically a short kickoff, a workflow review, then a pilot with a small set of denial types before expanding.

What does pricing look like?

Pricing depends on volume and workflow needs. We’ll scope it during the demo.

What does pricing look like?

Pricing depends on volume and workflow needs. We’ll scope it during the demo.

What does pricing look like?

Pricing depends on volume and workflow needs. We’ll scope it during the demo.

Which denial types do you support first?

We start with the highest-volume categories for your group, then expand.

Which denial types do you support first?

We start with the highest-volume categories for your group, then expand.

Which denial types do you support first?

We start with the highest-volume categories for your group, then expand.