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Denial triage
Denials sorted by payer, reason code and dollar value, then prioritized for fastest recovery.
Helix works every denial to root cause, appeals fast and aggressively pursues aged A/R — overturning 70%+ of the denials we touch and pulling back revenue stuck in your aging report.
Worked to resolution, not just resubmitted.
We fix the source so denials stop recurring.
90+, 120+ and 180+ buckets pursued by payer.
Claims worked before appeal windows close.
Every denial is triaged, worked and traced back to its cause so it doesn't happen again.
Denials sorted by payer, reason code and dollar value, then prioritized for fastest recovery.
We trace each denial to its source — coding, eligibility, auth or documentation.
Corrected claims and payer-specific appeal letters filed with supporting records.
Focused sprints work old claims before timely-filing windows close.
Findings feed back into scrubbing rules so the pattern stops repeating.
Live denial dashboards by reason code, payer and recovery rate.
Service required an auth that wasn't obtained or wasn't on file.
Claim submitted after the payer's filing deadline.
Claim lacks a required field, code or attachment.
Service fails the payer's LCD/NCD coverage criteria.
Denials ranked by payer, reason and recoverable dollars.
Root cause identified — coding, auth, eligibility or docs.
Corrected claims and appeal packets filed with evidence.
Root cause fed back into scrubbing to stop repeats.
"We had a half-million dollars rotting in our aging report and a denial rate nobody could explain. Helix found the patterns and went and got the money."
Prior-auth and medical-necessity denials on injections and blocks were piling up, with $512K in claims aging past 90 days and timely-filing windows starting to close.
Helix ran a 120-day recovery sprint — working denials by payer and reason code, filing documentation-backed appeals, and feeding root causes back into the auth and scrubbing workflow.
76% of worked denials were overturned, the denial rate fell 71%, A/R days dropped to 23, and $512K in aged claims was recovered before filing deadlines lapsed.
Representative composite based on Helix engagement outcomes. Individual results vary.
"They worked claims our own team had already given up on — and actually got them paid."
"Fixing the root cause meant the same denials stopped coming back. That was the real win."
Get a free A/R review and we'll show you what's recoverable and what's driving your denials.