Denials Intelligence Solution

Our Denials Intelligence solution is a sophisticated, denial management tool that generates a rich set of reports on all claim and remit activity. It allows hospitals and physicians to work the denials that will have the biggest impact on their bottom line in order to minimize revenue loss. It includes comprehensive reports with trending. Detailed, drill-down reporting is available on denials through rebill and payment. Trends by issue, payor and recovery are also available, along with a monthly variance report.

Key Differentiators

  • Allows for quick and secure implementation and start-up using our HIPAA-compliant, cloud-based software and simple user environment
  • Accepts standard 837/835 files
  • Eliminates miscounted, misgrouped and duplicate denials to ensure accuracy
  • Enables comprehensive “drill-down” capabilities via our dashboard
  • Offers denial trending and measurement
  • Monitors payor metrics and trends
  • Provides a detailed and customized intelligent workflow
  • Accelerates cash flow and increases workforce efficiency
  • Tracks progress from identification to recovery