Landers & Thompson
Appeals Documentation Builder

Generate standardized healthcare appeal determinations using structured review workflows and configurable rationale templates.

Review Type Not Selected
Determination Not Selected
Rationale Not Generated

Case Information

STEP 1

Review Type

STEP 2
Medical Necessity
Coverage Review
Eligibility Review
Coding Review
Documentation Review

Determination

STEP 3
✓ Approve
✕ Deny
◑ Partial Approval
⊙ Additional Info Required

Clinical Summary

STEP 4

Reviewer Notes

STEP 5 Internal Only

⚠ Reviewer notes are stored locally and excluded from all exported output.

Generate Rationale

STEP 6
Combines review type, determination, and clinical details into a complete, formatted determination document.

Generated Determination

STEP 7
Awaiting input
▤ Complete Steps 1–5 and click Generate Rationale to produce your determination document.
Landers & Thompson Healthcare Review Services
Appeals Determination
Case Number
—
Member ID
—
Date of Service
—
Review Date
—
Review Type
—
Determination
—
Rationale
Landers & Thompson Healthcare Review Services — Internal Use Only