Struggling with claim denials? Our denial management services are built to identify the root cause, prevent recurrence, and recover lost revenue.
Denied insurance claims can be frustrating. They take time, increase costs, and interrupt the flow of your revenue cycle.
The positive side is that nearly 90% of denials can either be prevented or resolved. Most occur because of simple oversights during claim submission. Our denial management solutions are designed to minimize these errors and help your organization recover payments efficiently.
Here’s How We Do That:
Deeply examine the payments & financial status of your practice
Identifying the root cause of each denial
Pre-auditing claims before submission
Submitting corrected claims on time
Using denial management software to improve accuracy and efficiency
Who We Serve
Claim denials often hold back physician revenue. We minimize denials and make sure payments come in faster, which means more predictable cash flow.
Managing denials across different specialties can be overwhelming. Our tools bring everything into one system, automate appeals, and on top of that, reduce the stress on your staff.
Hospitals face denials on a much larger scale, which leads to revenue loss and compliance concerns. We provide advanced analytics and hands-on support, and as a result, you recover more revenue while staying audit-ready.
Enhanced Claim Resolution (ECR) helps our billing team quickly address denied claims and recover outstanding payments for your organization. With ECR, you can secure the revenue you’re owed without the added cost or effort of recruiting and training additional staff.
Effective denial management starts with prioritization. Organizations need a structured system to determine which denials to address first, how work should be assigned, and how to maximize recovery efforts.
A proven approach is to begin with:
Then refine priorities based on:
Our denial management software automatically applies these criteria. It identifies high-priority denials, alerts your team to urgent cases, and speeds up appeals with pre-filled electronic forms.
Appeal Automation
All payer-specific appeal forms are available in one place. Denied claim details are auto-filled into the form, and additional forms can be uploaded when needed.
Audit Control
Every claim is tracked from first submission to final payment in a single system—no switching between PMS, EHR, or denial tools.
We deliver claim and denial management services for 75+ specialties, covering everything from cardiology, orthopedics, and radiology to behavioral health, surgery, and beyond.
Our healthcare denials management service consists of 4 strategic steps:
Identify
We review denials closely, grouping them to identify where issues originate and why they occur.
Mitigate
We correct the errors, adjust processes, and implement automation to prevent the same denials from recurring.
Measure
We examine trends, dollar amounts, and the duration of outstanding claims to determine where to focus our efforts first.
Prevent
We prevent future denials by monitoring claims, ensuring compliance, and training staff.
You get a team that works on denials every day, using payer rules and appeal strategies to secure more approvals.
Our Satisfied Clients
Discover how physician groups thrive with us.
Frequently Asked Questions
We handle denials for commercial payers, Medicare, and Medicaid across 50+ specialties. Our team includes certified coders and revenue cycle professionals with payer- and specialty-specific expertise.
With proven denial management services, fewer aged claims and faster appeals mean stronger revenue recovery. The sooner you begin, the sooner you see results.
