Free for a limited time

See what your practice is leaving on the table.

We run a complimentary denial analysis on your claims data — group every denial by root cause, prioritize recovery opportunities, and show you the systemic patterns costing you money every month.

Read-only access · Results in 48 hours · No commitment

Sample Report Preview

What your report looks like

Below is an anonymized snapshot from a real 2-physician practice. Your report will be customized to your payers, specialties, and denial patterns.

Physicians
2
Denial Claims
463
Open A/R
$94,512
Review Period
Jan–Apr 2026

Four-Month Denial Summary

MonthClaimsBilledPaid / ResolvedOpen A/R
Jan 2026176$108,420$72,388$36,032
Feb 2026132$82,760$54,206$28,554
Mar 2026101$60,980$39,281$21,699
Apr 202654$29,300$21,073$8,227
Total463$281,460$186,948$94,512

Payer Concentration

HealthFirst108 claims
Aetna86 claims
MetroPlus74 claims
Empire BCBS49 claims
UHC Community31 claims
Other115 claims

Top Work Buckets

Partial Payment Review171
Bill Patient / COB Cleanup118
Portal / EOB Review104
Corrected Claim / Refile48
Appeal / Documentation22
Root Cause Analysis

7 Highest-Yield Denial Themes

We group denials by root cause and prioritize by recovery potential. These are the patterns that cost this practice the most — and the ones most likely to repeat.

#1

Vaccine / Injectable Lines

Systemic: Yes

CO-16 / M119 — missing NDC or claim detail

Largest repeat family; preventable with better NDC capture, unit mapping, and pre-submission scrubbing.

58
claims
#2

Annual Exam + Problem Visit Split

Systemic: Likely

99213/99214 + Modifier 25

High-value coding pattern; strong candidate for standardized documentation and payer-specific rules.

35
claims
#3

Authorization / Referral Gap

Systemic: Yes

CO-197 — auth/referral required

Clear operational failure point; can be checked before visit or before claim release.

31
claims
#4

Diagnosis-to-Procedure Mismatch

Systemic: Likely

CO-50 — medical necessity

Good target for CPT-to-ICD validation before submission.

24
claims
#5

COB / Primary-Secondary Mismatch

Systemic: Yes

CO-22 family

Starts upstream in eligibility and insurance sequencing; creates downstream denial and patient-balance issues.

21
claims
#6

Timely Filing / Late Resubmission

Systemic: Mostly

CO-29 family

Often tied to work queue lag and missed follow-up windows.

17
claims
#7

Paid but Not Resolved in PM

Systemic: Mostly

ERA posted, PM open

Quick operational win; avoids wasted follow-up on already adjudicated claims.

12
claims
Self-Learning Engine

Every denial makes the system smarter.

Our AI doesn't just find denials — it learns from them. Every claim, correction, and payer response feeds the engine so the same mistakes are less likely to repeat.

Claim Denied
System captures denial code, payer, and context
Root Cause Found
AI identifies pattern — coding, auth, eligibility, or workflow
Rule Created
New validation rule added to pre-submission checks
Future Claims Protected
Same error caught before it leaves your office

Denial Rate Over Time

Month 1Month 12
Each claim and each denial teaches the system how to prevent the next one.

Get your free report in 48 hours.

What you get

Grouped denial reasons, root cause analysis, and a recovery priority list for your practice.

What we need

Read-only clearinghouse access for 48 hours. We extract, analyze, and return your report.

What it costs

Free. No commitment. If you like what you see, we'll talk about next steps.

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