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Denial Management

Every denied claim worked, appealed when it should be paid, and traced back to its cause so the same denial stops repeating.

Get a free consultation$0 to start15% of amounts recovered

A denied claim is not lost revenue yet, but it becomes lost revenue when nobody works it before the payer's appeal deadline. Many practices write off denials simply because no one has time to fight them.

We sort denials by reason, fix and resubmit what can be corrected, write appeals with supporting documentation when the payer is wrong, and report the root causes so your front desk and providers can prevent them.

What's included

Denial triage

Each denial categorized by reason code and dollar value, so the largest and most time-sensitive are worked first.

Corrected claims

Coding, demographic and modifier errors fixed and resubmitted quickly.

Written appeals

Appeals with records, policy citations and medical necessity support, tracked to a decision.

Timely filing tracking

Payer deadlines tracked so no claim ages past its appeal window.

Root-cause reporting

Monthly breakdown of why claims were denied and what change prevents each type.

Front-end fixes

Eligibility, authorization and registration changes that stop denials before the claim is created.

Price

15% of amounts recovered

$0 to start

Nothing to sign up. You pay only for completed work. How payment works

Who it's for

Practices with a denial rate above 5–10% or a backlog of unworked denials.

Get started

How it works

  1. Free billing review

    We look at a sample of recent claims, denials and aging A/R to see where money is leaking.

  2. Setup

    We connect to your EHR or practice management system, payer portals and clearinghouse.

  3. Daily work

    Claims, posting, denials and follow-up run every business day with no backlog.

  4. Monthly report

    You get collections, denial rate, days in A/R and what we changed.

Hire it alone or as part of a package

Denial Management is available on its own, and it is also included in Precision Claim Management. See all packages on our pricing page.

Specialties we provide denial management for

We work with practices of every specialty. These pages explain what is different about yours:

See every specialty and provider type →

Denial Management FAQs

Can you work old denials?

Yes, as long as they are still within the payer's appeal or corrected-claim window. We start with the highest-value claims closest to their deadlines.

What denial rate is normal?

Many well-run practices keep initial denials under about 5–10% of claims. Higher than that usually points to a fixable front-end problem.

Do you only work denials on claims you submitted?

No. We can take on denial work for claims submitted by your previous biller or in-house team.

Related medical billing services

Ready to talk about denial management?

Book a free 30-minute consultation. We'll review your practice and tell you where to start.

Get a free consultation