Denial rates are climbing. Manual processes can't keep up.
With initial denial rates reaching 11.8% industry-wide and nearly doubling in the past decade, your billing team needs better tools — not more hours.
Unworked Denials
Nearly 50% of denied claims are never reworked or appealed. Each unworked denial costs $25-30 in lost administrative effort — and the full claim amount in lost revenue.
Appeal Letter Bottleneck
Writing appeal letters takes 15-30 minutes each. With 35% of practices citing staffing as their top RCM challenge, there simply aren't enough hours in the day.
No Denial Analytics
Without CARC code analysis and payer trend data, you can't identify which denials to prioritize or which payers are systematically underpaying you.
The Denial Crisis by the Numbers
These are the industry-wide challenges driving the need for better denial management tools.
11.8%
Average Initial Denial Rate
Initial claim denial rates hit 11.8% in 2024 — nearly double from a few years earlier. The trend continues to climb.
Source: Experian State of Claims Report~50%
Denied Claims Never Reworked
Nearly half of all denied claims are never appealed or reprocessed — leaving recoverable revenue on the table.
Source: MGMA Industry Data$20B
Annual Cost of Denial Rework
Denial rework costs American healthcare providers an estimated $20 billion per year in administrative overhead.
Source: Industry ResearchComplete Denial Management Software
Everything your revenue cycle team needs to identify, prioritize, and appeal denials.
835 EDI Analytics
Parse remittance advice files instantly. See CARC codes, adjustments, and denial patterns in a clear dashboard.
AI Appeal Letters
Generate payer-specific appeal letters in seconds. Our AI cites relevant medical policies and CARC code requirements.
Win Probability Scoring
Prioritize denials by likelihood of successful appeal. Focus your team on high-value, high-probability claims.
Works With Any EHR
Standalone solution that overlays your existing billing system. No complex integration or data migration required.
Denial Root Cause Analysis
Identify recurring denial patterns by CARC code, payer, and procedure. Fix issues upstream before they become denials.
Revenue Recovery Tracking
Track appeal outcomes and recovered revenue. Measure ROI and demonstrate value to practice leadership.
PLANS
Transparent pricing. No surprises.
We only get paid when we recover your revenue. Choose the plan that fits your practice.