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
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.
Four-Month Denial Summary
| Month | Claims | Billed | Paid / Resolved | Open A/R |
|---|---|---|---|---|
| Jan 2026 | 176 | $108,420 | $72,388 | $36,032 |
| Feb 2026 | 132 | $82,760 | $54,206 | $28,554 |
| Mar 2026 | 101 | $60,980 | $39,281 | $21,699 |
| Apr 2026 | 54 | $29,300 | $21,073 | $8,227 |
| Total | 463 | $281,460 | $186,948 | $94,512 |
Payer Concentration
Top Work Buckets
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.
Vaccine / Injectable Lines
Systemic: YesCO-16 / M119 — missing NDC or claim detail
Largest repeat family; preventable with better NDC capture, unit mapping, and pre-submission scrubbing.
Annual Exam + Problem Visit Split
Systemic: Likely99213/99214 + Modifier 25
High-value coding pattern; strong candidate for standardized documentation and payer-specific rules.
Authorization / Referral Gap
Systemic: YesCO-197 — auth/referral required
Clear operational failure point; can be checked before visit or before claim release.
Diagnosis-to-Procedure Mismatch
Systemic: LikelyCO-50 — medical necessity
Good target for CPT-to-ICD validation before submission.
COB / Primary-Secondary Mismatch
Systemic: YesCO-22 family
Starts upstream in eligibility and insurance sequencing; creates downstream denial and patient-balance issues.
Timely Filing / Late Resubmission
Systemic: MostlyCO-29 family
Often tied to work queue lag and missed follow-up windows.
Paid but Not Resolved in PM
Systemic: MostlyERA posted, PM open
Quick operational win; avoids wasted follow-up on already adjudicated claims.
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.
Denial Rate Over Time
Get your free report in 48 hours.
Grouped denial reasons, root cause analysis, and a recovery priority list for your practice.
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