Denied isn’t final.It’s a first answer.

A denial tells you a claim failed a check. It rarely tells you how to pass it. We find out, fix the claim, and see it through.

Service
01 / 05
Pricing
Success-based
Free claims audit

§ 01Why denials pile up

Working a denial takes time: reading the remittance, finding the root cause, pulling documentation, correcting, resubmitting, chasing. On a busy week, it’s the first job to slip. Then payer deadlines pass, and recoverable claims become write-offs.

§ 02Scope

What’s included.

  1. (a)

    Denial triage

    Every open denial sorted by value, deadline and likelihood of recovery, so the work starts where it counts.

  2. (b)

    Root-cause analysis

    Each denial traced to its source: coding, documentation, eligibility, authorisation, timely filing or payer error.

  3. (c)

    Correction and resubmission

    Claims corrected and resubmitted through your existing channels, in the payer’s required format.

  4. (d)

    Appeals

    Written appeals with supporting documentation, filed within the payer’s appeal window, escalated where the process allows.

  5. (e)

    Follow-up to settlement

    We stay on each claim until it’s paid, partially paid with reasons, or formally closed.

§ 03Method

How we work a denial.

  1. Step 1

    Read the remittance

    Denial and remark codes, against the payer’s current rules.

  2. Step 2

    Find the cause

    Compare the claim with the record, the authorisation and the contract.

  3. Step 3

    Fix or appeal

    Correct and resubmit, or write the appeal if the payer got it wrong.

  4. Step 4

    Follow up

    Track every claim on a schedule, not when someone remembers.

  5. Step 5

    Report

    Recovered, pending and closed, every month, claim by claim.

§ 04What you see

  • A claim-level worklist you can inspect at any time
  • Monthly recovery report: recovered, pending, closed, with reasons
  • A short list of the root causes behind your denials, and how to prevent them

§ 05A good fit if

  • You have a backlog of denials nobody has time to work
  • Your denial rate has crept up and you’re not sure why
  • You want recovery without changing your billing system

§ 06Fee

Success-based

Compare pricing

A fee of [[RECOVERY_FEE]] on amounts actually recovered. If nothing is recovered, there’s no fee.

§ 07Questions

Questions about Denied Claims Recovery

How old can a denied claim be?
That depends on each payer’s appeal and resubmission deadlines. The audit identifies which claims are still within their window.
Do we need to change our billing software?
No. We work inside the system you already use, with access you control.
Do you guarantee a recovery amount?
No. Outcomes depend on the claims, the payers and the documentation. The audit gives you an estimate before you commit to anything.