LogoClaimsDesk
// Insurance Claims Recovery — ClaimsDesk

Your DenialsAre Evidence.We Build the Case.

Hospital CFOs, practice managers, and self-insured employers use ClaimsDesk to recover denied claims — systematically, aggressively, and at scale.

$4.2B+
Claims Analyzed
94%
Appeal Win Rate
11 Days
Avg. Resolution
200+
Health Systems
Rejection Code Analysis — Q1 2026

1,847 Denials Logged This Quarter

Value at Risk
$2.4M
CO-4
1,842
88%
CO-97
1,547
74%
PR-204
1,274
61%
CO-16
1,108
53%
CO-B7
921
44%
CO-50
691
33%
PR-96
460
22%
Live — updated every 15 minutes from connected EHRs
// The Problem

The Carnage Is
Already on Your Books.

These aren't projections. This is the current state of insurance claims across US healthcare. Your revenue cycle is bleeding from wounds payers engineered.

Denial Rate — National Average
17.2%
of all submitted claims — denied

Up from 9% in 2016. Payers have industrialized the denial process. Every percentage point is a systematic policy decision — not an error. You need a systematic counter-response.

2016
9%
2018
11%
2020
13%
2022
15%
2026
17.2%
Written Off
$262B
Abandoned annually

Revenue cycle staff permanently abandon 65% of denied claims. That's not a workflow problem. That's a weapon payers count on.

Avg. Resolution
127 days
Without intervention

Cash stuck in limbo for 4+ months. Your AR ages. Your DSO climbs. Payers earn interest on money that's yours.

Appeals Filed
9.3%
Of eligible denials

Fewer than 1 in 10 appealable claims are ever contested. The other 90.7% are free money for payers.

Overturn Rate
63%
When properly contested

When someone actually fights back with the right language, payers reverse 63% of denials. The money is there.

?
Your Exposure
Unknown
Until you look

Most organizations don't know their actual denial rate by payer, by code, by provider. That ignorance is expensive.

// The Response

Systematic.
Surgical. Relentless.

Every problem above has a direct counter. The methodology is built around how payers actually deny — and how they're forced to reverse.

01
Pattern Detection

Automated Denial Pattern Detection

Our engine ingests your ERA/835 files and maps every CARC/RARC code against payer-specific denial histories. Patterns that take humans weeks to find surface in minutes.

// Pattern detected — Aetna CO-4
PATTERN: modifier_conflict
FREQUENCY: 847 claims (Q1)
ROOT_CAUSE: 59_appended_to_bundled_procedure
RECOVERY_PROBABILITY: 0.91
ACTION: generate_appeal_batch [847]
835 file parsing200+ CARC codesPayer baselinesReal-time alerts
↳ Directly addresses: 17.2% denial rate problem
02
Root Cause

Root-Cause Coding Analysis

We trace every denial to its upstream origin. Credentialing gap? Authorization miss? Modifier conflict? Exact failure, every time.

ICD-10 / CPT audit
Modifier logic review
Auth gap tracing
↳ Addresses: $262B write-off problem
03
Appeal Language

Payer-Specific Appeal Templates

2,400+ templates built from 8 years of successful overturn data. Calibrated to each payer's internal review criteria.

2,400+
Templates
47
Payers
94%
Win Rate
↳ Addresses: 9.3% appeal rate problem
04
AR Triage

AR Portfolio Recovery Sequencing

Not every denied claim is worth fighting with equal urgency. We score your entire AR by recovery probability, dollar value, and timely filing deadline risk — then execute a sequenced plan.

CLM-8847
UnitedHealth
$84,200
96%
4 days
CRITICAL
CLM-9012
Cigna
$41,600
88%
12 days
HIGH
CLM-7734
BCBS
$22,100
72%
31 days
MEDIUM
↳ Directly addresses: 127-day resolution time problem
// Proof of Work

The Verdict
Is Already In.

CASE STUDY 01
Regional Health System
Ohio — 340-bed facility
Before
Denial Rate
22.4%
Q3 2024
After
Denial Rate
7.1%
Q1 2025
Total Recovered
$1.84M
Engagement
90 days
CASE STUDY 02
Multi-Specialty Practice
Texas — 28 physicians
Before
AR > 90 Days
$4.2M
Aug 2024
After
AR > 90 Days
$890K
Jan 2025
Total Recovered
$3.31M
Engagement
150 days
CASE STUDY 03
Self-Insured Employer
California — 2,200 employees
Before
Stop-Loss Disputes
47 open
Oct 2024
After
Stop-Loss Disputes
3 open
Feb 2025
Total Recovered
$2.17M
Engagement
120 days
"
// Revenue Cycle Director, Midwest Health Network
"We had $6.8 million sitting in denied claims we'd written off as uncollectable. ClaimsDesk recovered $4.2 million of it in 4 months. I didn't know we were allowed to fight back like this."
SR
Sandra R.
VP Revenue Cycle — Midwest Health Network, Chicago IL
Trusted by revenue cycle teams at
Ascension Health
Envision Healthcare
TeamHealth
Sound Physicians
Vituity
Mednax
// Free — No Credit Card

Download ClaimsDesk Free

Scan denials from your phone. Flag patterns in seconds.

HIPAA-compliant · iOS & Android · Connects to your EHR

// Enterprise — Human Consultation

Request a Portfolio Review

For CFOs and revenue cycle directors with $500K+ in aging denials. A ClaimsDesk analyst will review your AR portfolio and quantify your exact recovery opportunity — before you commit to anything.

No-obligation AR analysis
Payer-by-payer breakdown
Recovery probability scoring
Response within 24 hours

For portfolios $500K+ · Response within 24 hrs

HIPAA Compliant
SOC 2 Type II
No Upfront Fees
200+ Clients