Reduced Claim Rejections & Accelerated Appeals

Denial Management

  • Claim Rejections

    We check daily for any claim rejections from the clearinghouse or payor. We update any necessary information such as demographic updates, payer ID updates, or other- to ensure the claim is sent back out quickly and accurately. We also contact your patients if additional information is needed to complete the rejection.

  • Denial Prevention

    We avoid claim resubmissions! We run claims thoroughly, with our extra layer of protection process that ensure claim edits are identified and corrected before they are submitted to the payer.

  • Denial Recovery

    We follow up on every claim denial by various forms of method. Such as contacting the payor’s claim department, making corrections, uploading records for medical necessity, and submitting appeals.

  • Our Promise

    We make a promise to ensure timely submission of all claims. In the event that we have not met our promise, we will credit you back for the full allowable amount.