Denial Management & Appeals

Turn your denials into dollars. We systematically analyze, correct, and appeal denied claims.

Revenue Recovery

A Denial is Not the End of the Road

Too many practices accept denials as "unpaid" and move on. In reality, nearly 90% of denials are preventable, and up to 67% are recoverable. We don't take "no" for an answer.

1. Identify

We categorize denials by code (Soft vs Hard) to prioritize recoverable claims.

2. Correct

We fix missing information, coding errors, or specific modifier issues.

3. Appeal

For medical necessity denials, we package clinical notes and write strong appeal letters.

4. Prevent

We update your front-end processes to stop the same error from happening next week.

Eligibility errors are the #1 cause of claim denials. Treating a patient without verifying active coverage is a gamble your practice can't afford.

We provide a comprehensive verification service 48 hours prior to appointments. We check not just "Active/Inactive" status, but the specific details that affect your payment.

Common Denial Reasons We Fix

Eligibility Expired / Not Covered
Duplicate Claim
Missing/Incorrect Modifiers

Medical Necessity (No Auth)
Bundling Issues
Timely Filing exceeded (We fight these too!)