Denial Management & Appeals

Every denial categorized by CARC root cause, corrected, and appealed before payer deadlines lapse.

A denial is actionable diagnostic data. We group denials by reason code and payer, correct the root issue on the claim, file structured appeals with medical records, and feed insights back into front-end workflows so recurring denials stop repeating.

What We Handle

  • Root-cause CARC and RARC categorization across all commercial and government payers
  • Corrected 837 claim resubmissions and comprehensive written clinical appeals
  • Strict appeal deadline tracking to prevent timely-filing write-offs
  • Workflow feedback loops targeting registration, prior-auth, and coding gaps

What You Receive

  • A prioritized backlog ranked by recoverable dollar value and filing deadline
  • Transparent appeal status visibility in weekly executive reporting
  • Actionable root-cause recommendations for front-desk and clinical staff

See where your revenue is leaking

Start with a free 10-point A/R and denial audit. We sign a BAA before any patient data is shared.

Request the free audit Request our BAA
Free audit