Recover More Revenue With Denial Management
Denial management is how ClearPath Medical Billing turns denied claims back into payments. We find why each claim was denied, correct and resubmit or appeal it, and fix the cause so the same denials stop coming back. Fewer denials. Faster payments. We support healthcare practices across the United States from our office in Austin, Texas.
Why Medical Claims Get Denied
Most denials come from a small set of avoidable problems. Each one delays payment and costs your staff time to rework. Without a denial management process, many of these claims are never worked at all, and that revenue is written off.
- Coding errors or missing modifiers
- Eligibility or coverage not verified before the visit
- Missing or incorrect patient and insurance details
- No prior authorization or referral
- Claims filed after the payer’s deadline
- Documentation that does not support the billed service
Our 5-Step Denial Management Process
- Identify: we review every denial and remittance advice (ERA/EOB) as it arrives.
- Classify: each denial is sorted by cause: coding, eligibility, authorization or timely filing.
- Correct and resubmit or appeal: we fix the claim, or prepare the appeal with supporting documents, before the payer’s deadline.
- Follow up: we track every resubmitted claim until it is paid.
- Prevent: we report on denial patterns and fix the root cause in coding, eligibility checks or registration.
What Our Denial Management Reports Show You
Good denial management is not only about reworking claims. It is about learning from them. We track the numbers that tell you where revenue is leaking, so your team can fix problems at the source:
- Denial rate by payer, provider and procedure
- Top denial reasons and how often they repeat
- First-pass claim acceptance rate
- Appeal outcomes and days in accounts receivable
These reports connect directly to our medical billing services and medical coding services, so a denial pattern in one area is corrected where it starts.
HIPAA Compliant. HIPAA-Trained Team.
ClearPath is HIPAA compliant and our team is HIPAA trained. Patient information is handled only as needed to bill and collect on your behalf, in line with the HHS HIPAA requirements. Our billing professionals bring 7 to 10 years of experience across practice specialties.
Pricing: medical billing from 3.5% of collections. Denial management can be included with your billing service.
Related Services
Denial Management FAQs
What is denial management in medical billing?
Denial management is the process of finding out why a claim was denied, correcting and resubmitting or appealing it, and fixing the underlying cause so it does not happen again.
How much does denial management cost?
Medical billing with ClearPath starts from 3.5% of collections, and denial management can be included. Request a free billing audit and we will recommend what fits your practice.
What is the difference between a rejected and a denied claim?
A rejected claim has errors that stop it from being processed and usually needs a quick correction and resubmission. A denied claim was processed and the payer refused to pay, so it needs to be corrected, resubmitted or appealed.
Do you work with practices outside Texas?
Yes. We are based in Austin, Texas, and support healthcare practices across the United States.
Is my patient information protected?
ClearPath is HIPAA compliant and our team is HIPAA trained. Please do not send patient health information through our website forms.
Find Out How Much Revenue Your Denials Are Costing You
Request a free billing audit and see where your claims are stalling. Read more on why medical claims get denied.
