We overturn 89% of commercial insurance denials at the peer-to-peer stage!
Commercial payors are denying at an increasing and alarming rate. Building a strong defense to this trend is necessary. Payors initially deny about 9 percent of hospital claims. With a 43% increase in commercial payor denials this year, it is vital for your hospital to have a plan!
When a denied claim is received, timing is critical to determine whether your organization agrees with the auditor’s findings. We offer deep subject matter expertise in denials resolution and can help your organization recoup reimbursement earned for providing patient care.
Whether you are looking for full outsourcing or as-needed assistance, we’re available to partner with you to fight the toughest medical necessity and clinical validation (DRG) denials.