Claim Denial Analysis and Recovery
Analyze your denied claims, identify root causes, and draft a recovery plan.
Delivery modes:
online
written
Pricing models:
expert_package
negotiated
We sample your denied claims, categorize reasons, map to payer policy, and deliver a recovery plan with workflows to reduce future denials.
Service standards (v1)
Deliverable
A claim denial analysis and recovery plan.
Mandatory elements
- Sample size and methodology
- Denial reason taxonomy
- Root cause analysis
- Recovery plan
Acceptance criteria
- Sample of at least 100 claims
- At least 5 root causes identified
- Recovery workflow diagram
Client must provide
- Deidentified claims export
- Payer list
- Current denial workflow
Out of scope
- Direct payer negotiation
- Claim submission on your behalf
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Experts manually verified
Payment held until you accept
Revisions included per offer
Dispute protection by ONDX