A denial is not a decision — it’s a starting point. Every denial that hits your account is categorized by reason code, payer, and CPT within 48 hours, then routed to correction, appeal, or write-off with a documented rationale.
Aged A/R is worked systematically by bucket rather than by whoever calls loudest: 30, 60, 90 and 120+ day balances each get their own cadence, with payer-rep escalation and reference numbers logged on every touch.
Underpayments matter as much as denials. We audit paid claims against your contracted rates and pursue variances that most practices never notice.
Why practices choose us for this
Root cause, not just rework
Fixing the front-end reason a denial happened is what stops it recurring next month.
Aged A/R clean-up
We take on legacy A/R as a project, including balances a previous biller gave up on.
Contract-level auditing
Underpaid claims are identified against your fee schedule and pursued to correction.
Frequently asked questions
Will you work A/R from our previous billing company?
Yes. Legacy A/R recovery is a common engagement and is often where the first big win comes from.
What denial rate should we expect?
Most of our accounts settle below 4%, with first-pass acceptance around 98%.
Do you file formal appeals?
Yes, including reconsiderations, first- and second-level appeals, and external review where warranted.