Denial management
Denial management services that fight for every claim
A denied claim isn’t lost revenue until someone decides not to work it. We read every denial and its CARC and RARC remark codes, find out why it happened, correct and resubmit or appeal it, and fix the cause upstream so it stops coming back.
Prefer to talk? Call (817) 396-6663
- Every denial worked
- Appeals written for you
- Root causes fixed
Signs you need this
Most denials are recoverable. Most go unworked.
Denials pile up with no owner
Everyone assumes someone else is handling the appeals queue.
Appeal deadlines pass quietly
Each payer has its own window. Miss it and the claim is a write-off.
The same denials keep returning
Without root-cause tracking you appeal the same problem every month.
Why denials pile up
The money isn’t gone. It’s waiting for someone
Denials take time that busy practices don’t have: reading the remittance code, working out what the payer actually wants, finding the documentation, then correcting or appealing within the payer’s window.
So denials get set aside. Some are never touched. Others are resubmitted unchanged and denied again. Meanwhile the filing deadline gets closer.
We treat each denial as two jobs. First, recover the payment. Second, find out why it happened and change something upstream so it stops.
What we handle
How we work denials
Triage within days
New denials sorted by reason, value and deadline as soon as remittances arrive.
Corrections & resubmissions
Coding, modifier, demographic and coordination-of-benefits errors fixed and resubmitted.
Written appeals
Appeals drafted with the documentation and payer policy that support them, sent by each payer’s required method.
Payer calls
Reconsiderations and reprocessing requests handled by phone when that’s faster than paper.
Root-cause tracking
Denials logged by reason, payer and provider, so patterns are obvious.
Prevention
Front-desk, coding and scrubber changes made so the same denial doesn’t repeat.
What changes for your practice
Turn denials into paid claims
Every denial reviewed
Remark codes read, causes identified, next steps documented.
Resubmitted or appealed
Corrected claims go back out fast; real payer errors get a written appeal.
Root causes fixed
Front-end problems traced back and corrected, so denial volume falls over time.
Denials you can see
A monthly view by reason and payer, and what we did about each.
How it works
From denial to payment
Read the reason
Remittance codes reviewed and the claim checked against notes and payer rules.
Choose the route
Correct and resubmit, request reprocessing, or file a formal appeal.
Follow it through
Every appeal tracked with a follow-up date until there’s a decision.
Fix the cause
The upstream issue fixed and the denial pattern reported to you monthly.
Reporting
Denials you can see, by reason and payer
Your monthly report shows what was denied, why, what we did and what changed, so you can see denials going down, not just getting worked.
- Denials by reason code and payer
- Recovered amounts and open appeals
- Denials by provider and location
- Changes made to prevent repeats
Common denials we fix
The usual suspects, and what we do about them
| Denial reason | What usually caused it | How we fix it | How we prevent it |
|---|---|---|---|
| Coverage terminated or not found | Plan changed, wrong member ID or payer | Find active coverage and rebill the right payer | Benefits checked before each visit |
| Prior authorization missing | Service needed approval, none on file | Request a retro authorization where the payer allows, or appeal | Authorizations tracked by visit count and date |
| Code or modifier mismatch | Wrong modifier, place of service or units | Correct and resubmit within the payer’s window | Payer-specific edits added to claim scrubbing |
| Medical necessity | Diagnosis doesn’t support the service for this payer | Appeal with documentation and the payer’s own policy | Coding checked against payer policies |
| Timely filing | Claim submitted or corrected too late | Appeal with proof of timely submission where it exists | Claims sent daily and filing limits tracked |
| Duplicate claim | Resubmitted instead of corrected | Close the duplicate and follow the original | Corrected claims sent with the right frequency code |
Client stories
What practices say about working with us
Family medicine
Most of our patients are on Medicare or Medicaid, and the paperwork rules change constantly. Cure MB catches eligibility problems before the visit, and my front desk stopped fielding angry statement calls.
Dr. Daniel OkaforFamily physician, four-provider practice · Columbus, OH
Cardiology
Cardiology coding is unforgiving, and our old biller kept resubmitting the same rejected claims. This team found the modifier pattern behind the denials and fixed it at the source.
Dr. Priya RamanCardiologist · Charlotte, NC
Urgent care
High volume means small errors multiply fast. Claims go out clean, and underpayments get flagged instead of quietly written off.
Dr. Marcus HillMedical director · Phoenix, AZ
Editing note (hidden on the live site): these six testimonials are SAMPLES that show the finished design. To publish a real one, edit the quote, name, role and city, then delete the classes cmb-placeholder and cmb-sample (Block → Advanced → Additional CSS class). Delete any sample you do not replace. The whole section stays hidden on the live site until at least one real testimonial is in.
Free consultation, no obligation
Have a stack of denials sitting in a queue?
Send us the list. We’ll sort it by deadline and value, and tell you what’s still recoverable.
Behavioral health practices
Seeing denials on psychotherapy or telehealth claims?
Time-based codes billed outside their minutes, the wrong add-on with an E/M visit, and telehealth place-of-service or modifier mismatches are among the most common behavioral health denials. We know what each payer expects.
Mental health billingPsychiatry billingTherapy billingTherapist credentialing
FAQ
Common questions
Straight answers about how this works with Cure MB.
How quickly do you work new denials?
We review new denials as remittances post, and corrections or appeals usually go out within a few business days, well ahead of the payer’s deadline.
Do you write appeal letters?
Yes. We write appeals with the supporting documentation and the payer’s own policy language, and send them by whatever method the payer requires.
Can you work old denials from before we joined?
Yes, as long as they’re still inside the payer’s appeal window. We’ll sort them by deadline and value and tell you which are still recoverable.
What’s a good denial rate?
It varies by specialty and payer mix, so we focus on your trend and on how quickly denials get resolved. Your free consultation includes a look at your current denial patterns.
Is denial management available on its own?
Yes, but it works best alongside billing, because the most effective fix for denials is usually upstream.
Keep going
Related services that work together
Every service is run by the same team, so handoffs between steps don’t drop anything.
Revenue Cycle Management
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Medical Billing & Coding
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Insurance Credentialing
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Therapist Credentialing
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Eligibility Verification
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A/R Follow-Up
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Talk to a billing specialist
Talk to a specialist about denial management
Tell us what’s happening with your billing. A specialist who works this area every day will get back to you within one business day.
- Call(817) 396-6663
- Emailsupport@curemb.com
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