What are the three types of denials?

Claim denials typically fall into three categories: administrative, clinical, and policy-related. Most denials stem from administrative issues like incorrect patient info, missing documentation, or coding errors.

What are the most common reasons for claim denials?

They include missing documentation, incorrect codes, eligibility issues, lack of prior authorization, or services not covered under the patient’s plan.

What’s the difference between a denied and rejected claim?

A rejected claim has format or data issues and never reaches processing, while a denied claim is reviewed and then not paid due to coverage or billing errors.

How do denial management services help reduce future denials?

They analyze patterns, identify root causes, and adjust workflows or training to prevent the same errors from happening again.

Denial Management Services | Reduce Denials, Recover Revenue

Lower Denial Rates

Faster Recoveries

Root-Cause Resolution

30+ Specialties Served

Stop Claim Denials from Hurting Your Revenue

If denials are piling up, you’re not alone. Most practices feel the hit in the same places: payments slow down, your team spends hours reworking claims, and money that should be coming in stays stuck with the payer. When denials don’t get handled quickly, they don’t just delay revenue, they start turning into write-offs.

A lot of denials come from the same repeat problems: missing or incomplete documentation, small coding mistakes, prior authorization gaps, timely filing limits, or payers saying a service wasn’t medically necessary. The tough part is that fixing one claim isn’t enough if the same issue keeps happening. That’s why we don’t just resubmit claims. We find the real reason they happened, fix what caused them, and help stop the same denials from coming back.

What Our Denial Management Services Cover

Denials don’t all happen for the same reason, and they shouldn’t all be handled the same way. We work each denied claim from start to finish and following through until it’s resolved. The goal is simple:

Step 01

Find the real cause behind each denial

Step 02

Write payer-ready appeals with the right support

Step 03

Correct errors and resubmit clean claims fast

Step 04

Collect missing docs so claims don’t stall

Step 05

Escalate stuck claims and stop repeat denials

How We Work Within Your Existing Billing Workflow?

You don’t need to change systems or rebuild your billing process to get denial recovery support. We work inside your current workflow and fit around the way your team already handles claims. Whether you use Athena, Kareo, AdvancedMD, Epic, or another EHR, we can pull denial files daily (or in batches), review each denial and its denial codes, and take action based on payer rules and your internal process.

We handle the follow-ups, corrections, and appeals, and keep everything documented so your team stays in the loop. You’ll get clear updates with payer notes, status changes, and what’s needed from your side (if anything). If you already have in-house billers or another billing partner, we coordinate with them so nothing gets duplicated and every denial is tracked through resolution.

Talk to a Denial Specialist

Denial Reduction Results You Can Measure

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

8 days

78%

Minimal

We saw a clear drop in our denial rate and a faster turnaround on appeals after bringing OneMed in. They’re organized, they document everything, and they communicate status updates without us having to ask. It’s been a huge help for our cash flow.

Denial Management Support by Specialty

Feature

Urgent Care denials

Imaging Center denials

Behavioral Health denials

DME denials

Multispecialty denials

In-House Staff

Limited time to work volume; follow-up varies

Often delayed by missing docs and payer rules

Hard to keep up with payer rules

High admin load and strict requirements

Denial work competes with daily billing

Software Only

Flags issues, but can’t appeal or follow up

May track auth, but can’t coordinate documents

Tracks limits, but doesn’t manage appeals

Can store docs, but doesn’t resolve denials

Shows dashboards, but doesn’t close cases

OneMed Billing

Fixes coding errors, submits appeals, follows up with payers

Verifies auth needs, gathers docs, corrects details, resubmits

Aligns documentation, manages appeals, tracks repeat patterns

Collects required paperwork, appeals when needed, tracks payer rules

Tags root causes, clears backlog, speeds follow-up, reports fixes

We manage denials across Medicare Advantage and commercial payers, following payer-specific appeal levels, documentation rules, and filing timelines. Each appeal is submitted and managed based on the payer’s process to avoid delays and unnecessary write-offs.

Request a Denial Review

Know Exactly Where Every Denial Stands

Get clear updates on what’s been worked, what’s been recovered, and what still needs action.

Daily denial status updates

Payer responses and appeal outcomes

Denial reason summaries by payer, code, and category

Weekly review calls for high-impact claims

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

Appeal or correction submitted

Follow-up completed until claim is paid or closed

Recurring issues flagged for provider feedback or training

Request a Demo of Our Registration Workflow

Denied claims received from your system or clearinghouse

Denial reasons categorized and logged

Corrective action determined and implemented

Appeal or correction submitted

Follow-up completed until claim is paid or closed

Recurring issues flagged for provider feedback or training

Request a Demo of Our Registration Workflow

Frequently Asked Questions

How much do denial management services cost?

Pricing depends on your denial volume, specialty, and how far back the backlog goes. Most practices choose a monthly service or a recovery-based model. We review your denial mix and recommend the simplest option.

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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