Appeals

Did you know up to 85% of denied claims are recoverable? Our expert denials and appeals management team transforms unpaid claims into revenue with strategic, payer-specific appeals.

Step Into Smarter RCM with I-Conic Solutions

Don’t Let Denials Win

With 65% of denied claims being overturnable, practices lose an average of $43,000 yearly by abandoning appeals. A denial in healthcare billing isn’t a final verdict, it’s often just the start, yet ignoring them means leaving significant, earned revenue behind. Our proactive approach to denial management in medical billing ensures you recover every dollar you’re entitled to.

Our Appeal-First Process

An effective appeal demands a precise, methodical approach. Our denial management process is designed to identify, address, and overturn denials with maximum efficiency.

Root Cause Analysis

Our team immediately reviews the denial reason. Was it a Level I appeal for a simple coding discrepancy or a Level II appeal for medical necessity?

Strategic Documentation

We don’t guess. Our specialists gather all necessary supporting documentation, including clinical records, operative reports, and payer-specific guidelines.

Payer-Specific Appeals

We understand that every payer is different. Our denial management specialists draft custom, compelling appeals tailored to the specific payer and their unique requirements.

Timely Submission & Tracking

We closely monitor all timely filing limits and appeal deadlines. Our process ensures every appeal is submitted promptly, and we track its status to adjudication.

Why I-Conic Solutions is Your Strategic Partner in Appeals

We stand apart from other denial management companies by offering results-driven appeals that get paid. Our approach to revenue cycle denial management is built on expertise, not just automation, making us the RCM vendors who handle appeals with a strategic mindset.

Payer-Specific Expertise

We have a comprehensive library of appeal templates and a deep understanding of the guidelines for every major payer.

Medical & Clinical Justification

Our specialists go beyond a simple form. We support every appeal with clinical documentation, medical necessity justification, and coding guidelines to build a compelling case.

Proactive & Strategic

Our team not only manages appeals but also tracks success rates and payer patterns. We use this data to inform your team and prevent future denials, making us a true partner in your financial health.

Full-Spectrum Appeals

From Level I to complex Level II appeals, we have the expertise to manage the entire appeals process and escalate when needed.

Comprehensive Reporting

We provide transparent reports on appeal status, success rates, and the reasons denials are being overturned, giving you complete visibility into your denial management process.

The Human Touch

Unlike automated solutions, our dedicated denial management specialists are critical thinkers who understand the nuances of each claim. We provide a strategic advantage that a simple algorithm cannot.

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Outcomes Delivered

Metric	Before ICS	After ICS	Improvement
Appeal Success Rate	35–45%	80–85%	40%
Average Days to File Appeal	10–15 days	3–5 days	65–75% faster
Repeat Denial Rate	18%	<5%	72% reduction
Appeal Backlog	200+ claims	<50 claims	75% decrease
Documentation Compliance	80%	99%	+19% improvement