Denial Management & Appeals

Are you aware the average claim denial rate for healthcare providers ranges between 5% and 10%? Shockingly, nearly 65% of denied claims are never re-submitted, resulting in significant revenue loss. Furthermore, the cost to rework a denied claim can range from $25 to $118 per claim, which can quickly add up and strain your resources.


Our Denial Management & Appeal Services are designed to help healthcare providers identify, manage, and resolve denied claims efficiently. We focus on analyzing denial patterns, crafting effective appeals, and implementing preventive measures to ensure you receive the reimbursement you deserve.

The Reliance® Difference

  • Accurate and Compliant Billing

  • Professional Communication

  • Seamless Billing Experience

  • Customer engagement matters

A Simple approach to Denial Management & Appeals

Our services aim to mitigate these issues, ensuring that you maximize your revenue and minimize the administrative burden by performing:

  • Denial Analysis: We conduct a thorough analysis of denied claims to identify patterns and root causes, helping you understand and address the reasons behind denials.
  • Appeal Process: Our team is skilled in crafting effective appeal letters and diligently follows up to ensure timely resolution of appeals.
  • Denial Prevention: By analyzing denial trends and providing feedback, we help you implement best practices and process improvements to reduce future denials.
  • Reporting and Analytics: We provide detailed reports and analytics on denial trends, appeal success rates, and financial impact, enabling you to make informed decisions.
  • Training and Education: We offer training and education on denial management best practices, coding accuracy, and documentation requirements to minimize denials.

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