Denial Management & Appeals

Comprehensive Denial Prevention

Our proactive approach starts before claim submission. We review every claim for accuracy, completeness, and compliance to prevent denials before they happen. By identifying and correcting potential issues upfront, we help dental practices achieve higher claim acceptance rates and reduce the time and resources spent on denial management.

At Apexita, we understand that prevention is the best strategy for denial management. Our expert team performs comprehensive pre-submission reviews, validates eligibility and benefits, confirms prior authorizations, and ensures proper coding and documentation. This proactive approach helps us maintain a 99%+ claim acceptance rate and minimize denials.

Our denial prevention services include pre-submission claim validation and error checking, documentation review and compliance verification, eligibility verification before service, and prior authorization confirmation. We also provide ongoing training and feedback to help practices improve their documentation and coding practices.

Aggressive Denial Management

When denials occur, we act quickly to resolve them. Our team analyzes denial reasons, gathers required documentation, and submits appeals promptly. We don't give up until your claims are paid. Our aggressive approach to denial management helps practices recover revenue that would otherwise be lost.

Our denial management services include immediate denial analysis and categorization, appeal preparation and submission, follow-up on appeals until resolution, and denial trend analysis and prevention strategies. We track denial patterns, identify root causes, and implement corrective measures to prevent future denials.

Key Features & Capabilities

• • Pre-Submission Claim Validation: Comprehensive review of claims before submission to catch errors and prevent denials
• • Documentation Review: Verify that all required documentation is complete and compliant before submission
• • Eligibility Verification: Confirm patient eligibility and benefits before service to prevent coverage-related denials
• • Prior Authorization Confirmation: Verify prior authorizations are in place before treatment
• • Denial Analysis & Categorization: Immediate analysis of denials to understand reasons and determine best course of action
• • Appeal Preparation & Submission: Comprehensive appeals with supporting documentation submitted within required timeframes
• • Trend Analysis & Prevention: Identify denial patterns and implement strategies to prevent future denials

Why Choose Apexita for Denial Management?

With extensive experience in denial management and a proven track record of successful appeals, Apexita is your trusted partner for all your denial management needs. We combine proactive prevention with aggressive appeals to minimize denials and maximize revenue recovery. Our dedicated team works tirelessly to ensure your practice gets paid for every service provided.

Denial Management Benefits

Denial Resolution Process