Hand Us the Denials. Keep the Recovered Revenue.
AAPC-certified coders and an autonomous agent run your denial queue end to end. You approve the work at first, then dial up how much we handle as the agreement rate proves itself. You pay only when a denial is resolved.
A service that finally makes small denials worth working
Here is the open secret of outsourced billing: under a percentage-of-collections contract, a $160 denied claim is not worth a person's afternoon, so it gets written off and nobody mentions it. Multiply that across a year and a practice loses serious money it already earned, one small denial at a time.
DenialZero runs the denial queue differently. An autonomous AI agent does the reading, the drafting, and the payer follow-up. Certified coders supervise and handle the judgment calls. That structure makes the cost of working a claim low enough that we work all of them, the small ones included. You get the upside of an in-house denial team without hiring, training, or covering for one on vacation.
Four Steps to Recovered Revenue
Send us the denials
Connect your clearinghouse 835 feed or export your denied claims and aged AR to a file. No system migration, no admin password, no 90-day onboarding. We sign the BAA and start the same day.
We triage and draft
The agent reads every claim, finds the root cause, and prepares the corrected claim or appeal. Our coders review the judgment calls. Each piece of work arrives with its reasoning, so you are never approving a black box.
You approve, or set it to run
At the start you approve each action. As the agreement rate climbs, you raise the autonomy level and we handle more without stopping for sign-off. Hard limits on dollars, deadlines, and validated payer contacts never change.
Recovered money posts, you pay on results
We file, keep the proof, and follow up until the payer answers. When payment posts, that denial is resolved and a flat fee applies. Claims we cannot recover cost you nothing. Every outcome is on the audit trail.
Switching billing companies? Your old AR comes with you.
When you change billers, the aged receivables do not collect themselves. Upload the backlog and we work it down before timely-filing windows close, so the transition does not cost you a quarter of revenue.
Who Brings Us Their Denials
No denial specialist on staff
Small and mid-size practices where denials land on a front-desk lead who already has a full plate.
Switching billing companies
Groups mid-transition who refuse to write off the aged AR the old biller left behind.
A denial backlog
Practices sitting on months of unworked denials that are aging toward their filing limits.
Specialty practices
Cardiology, behavioral health, orthopedics, pain management, where each denial is real money and the coding nuance is real.
We work with whatever you already run
Athenahealth, Kareo, eClinicalWorks, AdvancedMD, Tebra, NextGen, or a homegrown system. It does not matter to us. If it can produce a remittance file and a claim export, we can work your denials. To understand the codes behind the work, read the top reasons claims get denied and how a denial gets appealed.
What You Actually Get
Not a dashboard login and a quarterly report. A team and an agent doing the denial work, with the receipts to prove it.
Every denial worked or justified
We do not cherry-pick the big claims. Each denial is triaged and either worked to resolution or closed with a written reason, on the record. The small ones get attention because the per-claim cost makes it possible.
Corrected claims and appeals, drafted and filed
The agent prepares the corrected claim or the appeal with cited evidence, a coder reviews the judgment calls, and we submit through the right channel and keep the proof.
Deadline protection on every case
Each claim carries its payer filing window. Anything drifting toward a deadline surfaces as urgent before it lapses, so you stop losing claims to the calendar.
Payer follow-up without reminders
We chase the payer on a schedule set by how fast that payer actually responds, and re-denials roll into the next appeal round automatically.
A live audit trail you can open
Every read, decision, draft, submission, and follow-up is timestamped and immutable. When you want to know what happened to a claim, you look, you do not ask.
Monthly recovery reporting
Recovered dollars, win rates and response times by payer, and the denials we closed with justification. The numbers are measured, not asserted.
How we handle access and patient data
We never ask for your owner or administrator login. When working a denial needs portal access, you create a dedicated, limited user for our AR specialist, the same controlled access you would give any contractor, which keeps every action attributable to a named account you can switch off at any time. A Business Associate Agreement is signed before we touch a claim. Patient identifiers are hashed before any model processes data, and PHI is encrypted in transit and at rest. The controls are listed in full on the HIPAA and security page.
What Practices Ask Before They Start
What are denial management services?+
It is the work of turning denied and underpaid claims back into payments: reading the remittance, finding why each claim was denied, filing the corrected claim or appeal, and following up with the payer until it resolves. As a service, a team does that for you instead of it landing on your in-house billers.
How is this different from a typical billing company?+
A typical billing company folds denial work into a percentage-of-collections contract, where small denials are quietly not worth their time. DenialZero runs the denial queue with an AI agent doing the reading, drafting, and follow-up, and certified coders supervising. That economics lets us work every denial, including the small ones a percentage model ignores.
Do we have to switch billing systems or give you portal access?+
No system switch. We work from your remittances and a claim export, which every PM system can produce. We never ask for your owner or admin login. When portal work is needed, you create a limited, dedicated user for our AR specialist, the same way you would for any contractor. That keeps your access controlled and every action attributable.
Can you work our old aged AR, not just new denials?+
Yes, and it is one of the most common reasons practices start. Export the aged AR, we work it down claim by claim, and you stop writing off revenue you already earned. Timely-filing limits matter here, so the sooner the better.
How do you charge?+
A flat fee per resolved denial. If a claim cannot be recovered, you do not pay a fee for that claim. There is no per-seat license and no long implementation invoice before any money comes back. Tiers are on the pricing page.
Is it HIPAA compliant?+
Yes. A BAA is part of onboarding, PHI is encrypted and access-controlled, member identifiers are hashed before any model processes a claim, and every action is logged. The HIPAA and security page lists the controls.
Stop Writing Off Denials. Send Them to Us.
Live in under an hour. HIPAA BAA included. A flat fee per resolved denial.