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Lower Denial Rates

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Faster Recoveries

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Root-Cause Resolution

Frustrated With Denials Eating Into Your Revenue?

Denied claims are not just delays — they’re lost income unless managed correctly. Many practices either ignore them or lack the time to dig deep.

We take over your denied claims queue, fix the errors, fight rejections, and prevent recurring issues. Our team handles the appeals, resubmissions, and payer calls while tracking every case until resolution.

We don’t just work denials — we stop them from happening again.

Frustrated With Denials Eating Into Your Revenue?

What Our Denial Management Covers

From coding issues to documentation lapses and authorization gaps — we identify, correct, and prevent the reasons claims are denied.

Step 01
Categorizing denial reasons and tagging root causes

Categorizing denial reasons and tagging root causes

Categorizing denial reasons and tagging root causes

Step 02
Preparing and submitting custom appeal letters

Preparing and submitting custom appeal letters

Preparing and submitting custom appeal letters

Step 03
Fixing errors, resubmitting eligible claims, and verifying authorizations

Fixing errors, resubmitting eligible claims, and verifying authorizations

Fixing errors, resubmitting eligible claims, and verifying authorizations

Step 04
Coordinating with providers for missing documentation or clinical input

Coordinating with providers for missing documentation or clinical input

Coordinating with providers for missing documentation or clinical input

Step 05
Escalating unresolved claims and tracking prevention trends

Escalating unresolved claims and tracking prevention trends

Escalating unresolved claims and tracking prevention trends

We Work Inside Your Existing Workflow

We Work Inside Your Existing Workflow

We plug into your existing billing workflow—no need to switch systems or change routines. Whether you use Athena, Kareo, AdvancedMD, or any major EHR, we retrieve denial files daily or in batches, handle follow-ups, and report back in real-time with payer notes and documentation logs. We also collaborate seamlessly with your in-house billers or outsourced vendors to close the loop on every claim.

Real Practices. Real Denial Reduction.

Metric

Denial rate

Average time to resolve a denial

Percentage of appeals won

Denials written off

Before OneMed

12%

22 days

41%

High

After OneMed

4%

8 days

78%

Minimal

We support practices dealing with complex denial patterns, whether due to specialty coding, out-of-network billing, or clinical documentation gaps. Our team handles payer appeals, coordinates with providers when needed, and uses denial trend analytics to stop issues from recurring.

Support for Specialty and High-Volume Providers

We support practices dealing with complex denial patterns, whether due to specialty coding, out-of-network billing, or clinical documentation gaps. Our team handles payer appeals, coordinates with providers when needed, and uses denial trend analytics to stop issues from recurring.

 Support for Specialty and High-Volume Providers

Know Exactly Where Every Denial Stands

You’ll receive regular updates showing what we’ve worked, what we’ve recovered, and what still needs action.

Know Exactly Where Every Denial Stands
 Daily denial status reports

Daily denial status reports

Payer responses and appeal outcomes

Payer responses and appeal outcomes

Denial cause summaries by code and category

Denial cause summaries by code and category

Weekly review calls for high-impact claims

Weekly review calls for high-impact claims

Shared access to case tracking dashboards (if needed)

Shared access to case tracking dashboards (if needed)

Our Simple Yet Effective Process

We handle each denial with precision — from discovery to resolution.

Denied claims received from your system or clearinghouse

Denial reasons categorized and logged

Corrective action determined and implemented

Our Simple Yet Effective Process

Appeal or correction submitted

Follow-up completed until claim is paid or closed

Recurring issues flagged for provider feedback or training

You Don’t Have to Settle for High Denial Rates

Feature
Root-cause denial tagging
Manual appeal preparation
Prior authorization and eligibility tie-in
Denial prevention reporting
Clinical coordination for appeals
In-House Staff
Limited
Inconsistent
Rare
Basic
Not available
Software Only
None
No
No
No
No
OneMed Billing
Yes
Yes
Yes
Yes
Yes

We combine experience, process discipline, and hands-on payer communication to give your denials the attention they deserve.

Frequently Asked Questions

Do you track denial trends over time?   

Yes. We tag each denial and provide monthly reports showing top denial reasons and how to reduce them.

Do you work with denials from all payers?   

Yes. We manage denials from Medicare, Medicaid, commercial insurers, and third-party payers across all 50 states.

Can you handle old denials too?   

Absolutely. We’ll review your backlog and recover whatever is still within timely filing limits.

How do you send appeal letters?   

We submit appeals via payer portals, fax, or mail based on payer requirements and provide reference numbers for tracking.

What if a denial is provider-dependent?   

We’ll coordinate with your team for any missing documents, signatures, or clinical notes.

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