Proactive Claim Denial Management

Turn denied claims into revenue with intelligent prevention and recovery solutions

Why Our Denial Management?

Predictive Denial Prevention

Machine learning identifies 90% of potential denials before submission

Root Cause Analysis

Automated denial pattern recognition and categorization

Appeal Automation

Pre-built templates with payer-specific requirements

Payment Recovery

Systematic follow-up on denied claims with aging tracking

Compliance Tracking

Automatic regulatory updates for changing payer rules

Reporting Dashboard

Real-time denial analytics and financial impact tracking

Our 6-Step Recovery Process

Denial Identification

  • Automated claim status monitoring
  • Payer-specific denial code mapping
  • Denial categorization engine

Root Cause Analysis

  • Documentation pattern recognition
  • Coding error detection
  • Regulatory compliance checks

Appeal Preparation

  • Pre-built template library
  • Missing documentation alerts
  • Payer rule validation

Appeal Submission

  • Electronic submission portals
  • Submission deadline tracking
  • Appeal status monitoring

Payment Recovery

  • Aging claim follow-up
  • Rejection reprocessing
  • Write-off authorization

Preventive Measures

  • Staff training recommendations
  • Process improvement suggestions
  • Predictive denial modeling

85%

Average denial recovery rate

70%

Reduction in denial rates

24/7

Denial monitoring support

Ready to Reduce Your Denial Rates?

Our experts recover millions annually through systematic denial management