BillingParadise has specialist variance teams who are handled denial worklists based on their expertise.
Line item denials and denials that are caused due to information errors are resolved and resubmitted within 2 days.
Recover more revenue and recapture money lost due to underpayments. Lower your denial rate in the long run.
Denial Manager gives complete and immediate visibility into each claim and denial
Do you know how much money you are leaving on the table? Find out
Calculate your DenialsThe power of automation in your hands…
All denials are routed to the denial analysis department. Denials are segregated into line item and full denials
DenialAnalyzer, our denial management and reporting app, gives you realtime insights
All claims are categorized into different follow-up groupings.
We work with all federal and commercial payers and have strong knowledge of their payment mechanisms
Redundant processes are automated. This cuts back on cycle times. Recover money faster.
Software that identifies, isolates, quantifies and categorizes denials to help you lower your denial rate and spot revenue leakage sources.
Medical Group practice's who sign service level agreements with BillingParadise can be assured of year-over-year improvement in yield. To drive movement towards best practice, we use MGMA MAP keys to compare performance of your denials and set targets against industry standards.
It eliminates the need to run multiple reports. View Denial summaries at a glance
DenialManager prevents repeated claim denials
Compare each denied claim against a comprehensive database of standards. One click reports
Learn how we helped an Orthopedic practice to zero down on denials with our denial management system.
Free Casestudy
Most practices see their denial rate start to fall within the first 30–60 days, once the front-end causes behind recurring denials are fixed. In the first 90 days, Billing Paradise clients have reduced denials from 15–20% to 5%. Results may vary based on specialty, payer mix, and practice size.
Yes. Billing Paradise works denials from Medicare, Medicaid, Medicare Advantage, and commercial payers such as Aetna, UnitedHealthcare, Cigna, and Blue Cross plans. Our team tracks each payer's edits, filing limits, and appeal rules so corrections and appeals meet that payer's requirements.
We group every denial by reason code and trace it back to where it started: registration, eligibility, authorization, coding, charge entry, or payer policy. Then we fix the process at that point, not just the individual claim. Weekly denial reports show which causes are shrinking and which still need work.
Yes. We correct and resubmit denied claims, write and file appeals with supporting documentation, and follow up until each one is resolved. What we learn from each denial goes back into front-end workflows, so the same denial stops recurring.
Denials often rise after a new EHR goes live because charge codes, fee schedules, payer IDs, or claim edits did not map correctly from the old system. We sort the new denials by cause, work with your EHR team to fix the build issues, and rework the affected claims before filing deadlines pass.