Denial management
Every denied claim gets worked. Not just the easy ones.
Denials are where practices quietly lose money. In a 2024 Premier Inc. survey of hospitals, health systems and other providers, nearly 15% of claims sent to private insurers were initially denied, and over half of those were eventually paid once someone worked them. Much of that money is recoverable, but only if someone works each denial before the deadline.
What we do
- Each denial read and sorted by reason the day it arrives
- Corrected claims for fixable errors: eligibility, coding, missing information
- Written appeals with the supporting records when a denial is wrong
- Tracking of every appeal deadline, so nothing expires unworked
- Root-cause fixes: we change what caused the denial so it stops repeating
- Denials grouped by payer and reason in your monthly report
Questions about denial management
Do you appeal small claims too?
Yes. Small denials add up, and the same reason usually repeats. We work every denial and fix the cause.
What happens to denials from before you started?
We review older denials during onboarding and work the ones that are still within the payer's appeal window.
Related services
Free billing checkup
Find out where your money is stuck.
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