> ## Documentation Index
> Fetch the complete documentation index at: https://docs.denialbase.com/llms.txt
> Use this file to discover all available pages before exploring further.

# How it works

> What happens to the claims you send us.

<Steps>
  <Step title="You send us claims">
    The denied claims you wrote off or won't pursue: remittance files, billing exports, PDFs, one claim at a
    time, or [from your billing system](/api-reference/introduction). See [Send us claims](/guides/send-claims).
  </Step>

  <Step title="We analyze them">
    Our team reviews every claim: why it was denied, whether it can still be appealed, by when, and who
    should file. You don't pick anything.
  </Step>

  <Step title="You get your report">
    A denial recovery report: what's recoverable, why claims were denied, the deadlines, and the claims to act on
    first. See [Reports](/guides/reports).
  </Step>

  <Step title="We work the appeals">
    Our team opens a case for each claim worth appealing and files the appeal. You follow every case in the
    console, and we ask you only for what we can't do ourselves. See [Cases and to do](/guides/cases-and-to-do).
  </Step>
</Steps>

## Two ways a claim gets appealed

<CardGroup cols={2}>
  <Card title="We file for your practice" icon="building">
    For claims your practice can appeal as the provider, we file in your practice's name. This is what the
    [practice engagement](/guides/getting-started#the-practice-engagement) allows.
  </Card>

  <Card title="Your patient appeals, with us" icon="user">
    Some appeals have to come from the patient. The patient signs an authorization that lets us appeal for them,
    and we do the work. You introduce us to the patient. See [Patients](/guides/patients).
  </Card>
</CardGroup>

Our team decides which way each claim goes. Patients never start anything on their own: they only hear from us
after your practice sent the claim and we decided their signature is needed.

## Nothing moves before the business associate agreement

We don't receive or send any patient information for your practice until your business associate agreement
(BAA) is signed. Until then, sending claims stays closed. See [Getting started](/guides/getting-started).


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