💲 Price: $3,500 (One-time)

Overview

Denied claims are one of the largest sources of preventable revenue loss for healthcare providers—yet many are never appealed. Thrive’s Denial Audit & Appeals Campaign offers a turnkey solution to uncover the why behind your denials, launch targeted appeals, and build long-term prevention strategies. We don’t just appeal—we help eliminate the need to.

Ideal for practices overwhelmed by rejections, short-staffed billing teams, or those transitioning to new systems or payers.

What’s Included

  • Review of 90 days of denied claims (commercial, Medicare, Medicaid)
  • Categorization by denial type, payer, CPT/ICD mismatch, documentation, etc.
  • Root-cause analysis to identify trends and process breakdowns
  • Up to 25 custom appeal letters written and submitted
  • Denial prevention checklist and payer-specific tips
  • Final Denial Audit Report with analytics, success rates, and recommendations

How It Works

  1. After purchase, you’ll complete a secure intake form and upload denial logs and EOBs.
  2. Thrive analyzes the data, prioritizing high-dollar/high-likelihood appeals.
  3. We draft and submit up to 25 formal appeals on your behalf using payer-specific protocols.
  4. You receive a detailed final report with denial trends, appeal results, and training opportunities.

ROI & Benefits

  • Recover lost revenue from denied claims (typical recovery: $25K–$100K)
  • Identify preventable denial patterns (e.g., modifiers, eligibility, timing)
  • Gain a ready-to-use appeals letter library
  • Reduce AR and improve first-pass claim rate
  • Empower staff with a clearer path to clean claims

Timeline & Delivery

  • Review and appeals completed in 10–14 business days
  • Delivery: PDF report + appeal letter documentation
  • Option to purchase additional appeals as an add-on ($500 per 10 appeals)

Compliance Note

Thrive operates under HIPAA-compliant workflows and signs a Business Associate Agreement (BAA) with every client. All PHI is encrypted in transit and at rest.