Denials Management

Manage and recover preventable denials

Leverage data to manage complex current denials and prevent systemic reoccurring denials in the future.

Manage your denials through a multifaceted approach

Save time by preventing denials in the first place

Increase provider revenue

Datavant offers specialized staff and maximizing technology integration with existing RCM systems.

Eliminate systemic and preventable denials by building and implementing a denials prevention strategy that identifies opportunities to improve your clinical documentation and code specificity.

Increase revenue by reducing denial rates, recovering large dollar claims, and minimizing leakage from lost charges.

Enhance revenue and profitability

Leverage technology, staffing, and education to manage and prevent denials.

Automated appeals

Faster appeals process using specialized tools

Segment denials, predict the types of appeals more likely to overturn them, and gain automated appeals ready to send.

Scalable staffing solutions

Unburden your team with short- and long-term denials support staff

Datavant provides direct access to team members to support pre-authorizations, pre-certification, appeal letters/follow up, defense audits, revenue integrity.

Experts handle contract load, identification, billing follow-up, and recovery of variances.

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Industry-leading denials expertise

Ensure staff is up-to-date with denials best practices

Datavant provides physician and clinical education to determine appropriate levels of care for your Utilization Review program. We also offer ongoing educational support to prevent future avoidable denials.

Doctors sitting around a table, having a discussion

Effective denial management

77%

Denials from appeals are overturned by Datavant

Prevent denials

90%

Denials are preventable. Datavant helps ensure these denials don’t happen in the first place

Predict payments

92%+

Accuracy in predicting whether a claim is highly likely to pay

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Explore how Datavant protects, connects, and delivers the world’s health data through data logistics. Ensure every decision in healthcare is powered by relevant data.