See the denial letter and appeal window before you consult
The intake asks whether the injury was work-related, when the denial or benefit stoppage happened, and what medical care or wage payments are still missing — with the denial letter and insurer correspondence uploaded up front.
The exact intake your denied claim appeals leads complete
This is the real 7-question guided intake for Denied Claim Appeals — the same flow your customers finish before you ever pick up the phone.
What a qualified denied claim appeals lead should tell you
An appeal filed on behalf of an injured worker whose workers' compensation claim was denied in whole or in part, or whose benefits were stopped, requiring the intake to confirm the work-related injury, the denial or stoppage, and what benefits remain unpaid.
- Get Hurt Or Become
- Report Injury/Illness Employer And
- Workers’ Compensation Claim Denied
- Receive Written Denial Letter
- Denial Or Stoppage Happen
- Still Missing Benefits Believe
- Know Name Employer And
The questions your team needs answered
Every denied claim appeals intake asks these — and why each one matters.
| Question | Why it matters |
|---|---|
| Did you get hurt or become ill because of your job (at work or while doing work duties)? | Confirms the injury is actually work-related, which is the baseline requirement before any appeal has merit. |
| Did you report the injury/illness to your employer and file a workers’ compensation claim? | Establishes a claim was actually filed, so someone injured but who never filed is routed away from this appeals intake. |
| Was your workers’ compensation claim denied (in whole or in part), or were your benefits stopped? | This is the core qualifying event for the whole intake — without a denial or benefit stoppage there's nothing to appeal. |
| Did you receive a written denial letter or decision from the insurer or workers’ comp agency? | A written decision gives the firm something concrete to review and appeal against, versus a verbal or informal denial. |
| Did the denial or stoppage happen within the last 12 months? | Appeal deadlines are often tied to the date of denial, so recency directly affects whether the case can still be acted on. |
| Are you still missing benefits you believe should be covered (like medical care, wage payments, or disability payments)? | Identifies what's actually at stake — ongoing medical care or wage loss makes the appeal more consequential to pursue. |
| Do you know the name of your employer and the workers’ comp insurance company (or have paperwork that shows it)? | Employer and carrier details are needed to pull claim records, so missing this slows down how quickly the firm can evaluate the case. |
How Cliont scores denied claim appeals leads
Every answer is weighted automatically — no manual review required.
Value signals
- Get Hurt Or Become: yes
- Report Injury/Illness Employer And: yes
- Workers’ Compensation Claim Denied: yes
- Receive Written Denial Letter: yes
- Denial Or Stoppage Happen: yes
- Still Missing Benefits Believe: yes
See the lead your team receives
Denied Claim Appeal Lead
From first click to qualified lead
Follow people and businesses seeking counsel through one smooth, guided flow.
They land & meet you
Your video greeting plays instantly — a real face instead of a blank form.
They explain the matter
Smart questions adapt to their matter and capture the full scope.
They share the documents
The facts, dates, and any paperwork come attached, so you can assess the matter before the consultation.
You get a ready lead
Scored and qualified — waiting for you to win it.
Built for denied claim appeals workflows
| Cliont capability | Denied Claim Appeals application |
|---|---|
| Conditional question branching | If the prospective client says they never reported the injury or filed a claim, the intake routes them differently instead of walking them through denial-specific questions that don't apply. |
| Weighted scoring engine | A recent written denial combined with missing medical or wage benefits pushes the score toward High Priority, while an old denial or stopped-but-undocumented benefits scores lower without being discarded. |
| Document upload capture | The intake collects the denial letter or benefits termination notice and insurer correspondence directly, so the firm can review the actual decision before the consultation instead of taking the claimant's word for it. |
| CRM routing | Appeals with a confirmed denial and identifiable employer/insurer details are sent to the CRM as consultation-ready, while cases missing that information are still logged but marked for a follow-up step. |
Common denied claim appeals lead scenarios
Fresh written denial in hand
The worker was hurt on the job, filed a claim, and received a written denial within the last 12 months while still missing wage or medical benefits — the intake surfaces this as the strongest fit for a consultation.
Benefits stopped without a letter
No formal denial letter exists yet but payments stopped abruptly; the intake still captures the missing benefits while flagging that documentation needs to be requested before the case is fully assessed.
Denial from years ago
The claim was denied outside the last 12 months, which lowers urgency signals and helps the attorney decide whether the appeal window has likely closed before booking time.
Injury never formally reported
The prospective client was hurt at work but never reported the injury or filed a claim, so there's no denial to appeal yet — the intake screens this out as a different matter entirely.
Missing employer or insurer details
The claimant doesn't know or can't document the employer or workers' comp carrier, which the intake flags as a gap to resolve before the firm can evaluate the appeal.
Connect Cliont to your workflow
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Notify your team
Email, SMS, Slack
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Simple, transparent pricing
Choose the plan that works for your business.
Professional
Unlimited intake forms and leads for your growing business.
- Unlimited intake forms
- Custom video greetings
- AI-powered voice bot
- English + Spanish support
- Automatic lead scoring
- Digital estimates & e-signatures
- Photo, video & file upload
- Advanced analytics dashboard
Pay Per Lead
Only pay when you receive a qualified lead.
- Unlimited intake forms
- Custom video greetings
- AI-powered voice bot
- English + Spanish support
- Automatic lead scoring
- Digital estimates & e-signatures
- Photo, video & file upload
- Charged only for submitted leads
More workers compensation intake templates
Denied Claim Appeals lead-intake FAQs
How does the intake separate a true denial appeal from someone who hasn't filed a claim yet?
The intake checks whether the claim was actually reported and filed before asking about a denial, so a prospective client who was injured but never filed is flagged as a different case type rather than scored as a strong appeal lead.
What happens if the prospective client doesn't have the written denial letter yet?
The intake still records that a denial or benefit stoppage occurred and asks for the letter as an upload, so the firm can see the case exists and follow up on documentation rather than losing the lead entirely.
Can the intake flag claims where the appeal deadline may have already passed?
Yes, the intake asks whether the denial or stoppage happened within the last 12 months, which helps the firm see time-sensitive appeals before older, potentially time-barred cases.
Does the intake distinguish a full denial from benefits that were simply stopped mid-claim?
The intake asks directly whether the claim was denied in whole or in part or whether benefits were stopped, and separately confirms what medical care or wage payments are still missing, so the firm sees the specific gap rather than a vague complaint.
What if the prospective client doesn't know their employer's insurance carrier?
The intake asks whether the claimant has the employer and insurer name or paperwork; when they don't, the case still comes through but is marked as needing that information gathered before a consultation is scheduled.
How is this different from the intake for Claim Filing and Administration?
Claim Filing and Administration intake targets workers who haven't yet submitted a claim, while this intake assumes a claim was already filed and focuses on the denial, the written decision, and what benefits remain unpaid.
Turn denied claim appeals visitors into qualified cases
Give every denied claim appeals visitor a guided intake instead of a dead contact form — and get a scored, qualified lead before you book a consultation.