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Denial Management

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Denial Management That Gets Claims Paid

 

Denied doesn’t mean done. We turn rejected claims into paid ones by identifying the root cause, correcting errors, appealing when necessary, and following through — because your revenue deserves a second chance.

Every denial costs you time and money — and too often, those claims are written off without a fight. At ClearClaim Partners, we specialize in denial resolution that actually resolves. Our team dives deep into why claims are being denied, whether it’s due to coding, authorization, documentation, or eligibility issues. Then we fix the problem at the source.

We don’t stop at correcting — we resubmit, appeal when needed, and track every response from payers until the claim is either paid or fully exhausted. We also identify patterns in your denials so you can stop recurring issues before they happen. Whether you’re overwhelmed by rejections or just need a smarter process, we’re here to take denial management off your plate — and get your money moving again.

What We Do for You

1. Review and Categorize Denied Claims 🧾

We organize all rejected claims by denial code and payer so we can prioritize high-value recoveries and resolve issues systematically.

 2.Identify Root Causes 🔎

From missing modifiers to authorization errors or coverage issues — we pinpoint what caused the denial and how to fix it.

3. Correct, Appeal, and Resubmit ✍️ 

Once the issue is identified, we fix it. That includes editing claims, attaching documentation, writing appeal letters, and ensuring everything is resubmitted properly.

4. Prevent Future Denials 📈

We track patterns, flag recurring issues, and provide guidance to help your front desk or clinical staff avoid preventable errors going forward.

FAQS

Denial Management
Frequently asked questions

We handle coding-related denials, missing documentation, prior auth issues, eligibility mismatches, and more. If it was denied — we can likely fix or appeal it.

We do both. If the denial requires correction, we fix and resubmit. If it needs formal appeal, we write and submit that too — with the proper payer forms and timelines.

Usually up to 12–18 months depending on payer rules. We prioritize based on appeal windows and recovery potential.

Yes. We send updates, logs, and summaries so you can track which denials we’ve touched and what the outcome was.

Our pricing is usually performance-based — we only charge a percentage of what we successfully recover from previously denied claims.