Services
What a denial management engagement looks like
We work as an extension of your billing operation — identifying denied and underpaid claims, filing appeals, and eliminating the patterns that create denials in the first place.
What a typical engagement looks like
We start with a free audit of your last 90 days of denied claims. If there is recoverable revenue, we walk you through what we found and what we can pursue — before you commit to anything.
Once you approve the scope, we begin working through the denial queue. Every appeal is drafted specifically for the payer, the denial reason, and the clinical context. We do not use generic templates.
You stay in the loop throughout. Nothing gets filed without your review. We operate as a silent extension of your team — you handle patient care, we handle the payers.
We work on contingency. You pay 25% of revenue we recover and nothing else. No retainer, no hourly billing, no flat monthly fee.
What we need from your practice
We keep the information request minimal. Here is what a typical engagement requires.
Denied claim report or ERA file
A denial report covering the last 90 days from your practice management system (e.g., Jane, WebPT, SimplePractice, Kareo, Athena).
Payer correspondence
EOBs or denial letters from the payer explaining the reason codes. Most systems can export these.
Read-only EHR access (for appeals)
For appeals that require clinical documentation, we may request limited read-only access. Scope is defined upfront and governed by a BAA.
All PHI is exchanged through secure, BAA-covered channels — never through this website or unencrypted email.
What we deliver
Tangible outputs your team can act on — not reports that sit in an inbox.
Weekly denial log
A running record of every denied and underpaid claim, its current status, and what action has been taken. Updated every week, shared directly with you.
Appeal letters drafted and submitted
We write payer-specific appeal letters with supporting clinical rationale and coding references. You review before anything is filed.
Root-cause report every 30 days
A plain-English report identifying the denial patterns driving your write-offs — by payer, CPT code, denial reason, and provider. Built for office managers, not billers.
Prevention recommendations
Alongside recovery, we flag the upstream process gaps creating denials in the first place — authorization workflows, demographic capture, modifier usage — so the same mistakes stop recurring.
Ready to find out what you're owed?
No contract. No retainer. If we don't find recoverable revenue, you owe us nothing.
Get a Free Denial Audit25% of what we recover. $0 if we recover nothing.