DenialMT
Features

Every capability, without the spreadsheet tax.

DenialMT is built around the denial management workflow — not repurposed from a general billing tool. Here’s what that means for your team.

Track every denial end-to-end

Every denied claim gets its own workflow — from initial denial through appeal, resubmission, and final resolution.

No more claims falling through the cracks between spreadsheet tabs. Each denial has an owner, a status, and a complete audit trail your managers can actually audit.

AI-suggested fixes by denial code

CARC and RARC codes mapped to the actions that have historically resolved them — for your book of business.

DenialMT learns from what has worked for your practices and payers. When a CO-97 lands, the specialist sees the fixes that resolved that exact code before, ranked by success rate.

Action items with automatic follow-up

Due dates, reminders, and escalations so nothing ages out of the appeal window.

Timely filing limits and appeal deadlines are tracked automatically. When a specialist is out, their queue doesn't silently rot — it rolls up to the manager.

Manager dashboards that matter

First-attempt success rate, top denial reasons, overdue follow-ups, dollars at risk.

See which payers are denying most, which specialists are resolving fastest, and which practices are bleeding revenue — in one view, updated in real time.

Client assistance requests

When a denial needs something from the practice, request it with automatic reminders until it arrives.

Missing documentation, corrected patient info, provider signatures — request, track, and chase without a dozen emails. The practice sees a simple to-do list, not another inbox.

ERA (835) file import

Bulk-ingest denials directly from your clearinghouse 835s — no manual entry.

Drop in an 835 and DenialMT parses every denied line, opens workflows for each, and assigns by rule. What used to be a morning of data entry becomes a coffee break.

Dashboards your managers will actually open.

Most “reports” are a weekly email of a pivot table. DenialMT gives managers a live view of the metrics that change denial outcomes: first-attempt success, overdue follow-ups, top denial reasons by payer, and dollars at risk by aging bucket.

  • Roll up by practice, payer, specialist, or CARC code
  • Alert when timely-filing deadlines are at risk
  • Export every view to PDF for client-facing reviews

Works with the systems you already have.

DenialMT complements your billing system — it doesn’t replace it. Bring denials in from 835s, clearinghouse reports, or your PMS export, and push notes back to wherever your team documents claims.

835 / ERA file import
CSV and XLSX import
Clearinghouse-ready formats
CARC / RARC code library maintained for you

See it with your own denials

In a 20-minute demo we’ll walk through a denied claim end-to-end — from 835 import to resolution.