What you get back in 48 hours
This is the report. Yours, on your own numbers, free.
Below is a real Denial Opportunity Analysis — the exact deliverable we return within two business days of receiving your 835 files. This one runs on synthetic data so we can show it publicly; yours runs on your practice's actual remittances.
Denial Opportunity AnalysisSample · synthetic data
Illustrative — not a real practice
$7,100
estimated recoverable across 4 denied claims totaling $11,950 denied — every dollar of it appealable. Recovery estimate is calibrated per payer and denial category from recorded appeal outcomes.
Denied dollars by payer
| Payer | Claims | Denied | Appealable | Est. recovery |
|---|---|---|---|---|
| National HMO Plan | 2 | $6,050 | $6,050 | $3,600 |
| Regional Blue PPO | 2 | $5,900 | $5,900 | $3,500 |
| Total | 4 | $11,950 | $11,950 | $7,100 |
Denied dollars by category
| Category | Claims | Denied | Appealable | Est. recovery |
|---|---|---|---|---|
| Medical necessity | 2 | $7,700 | $7,700 | $4,700 |
| Prior authorization | 2 | $4,250 | $4,250 | $2,400 |
Highest-value appeal targets
1
Clinical appeal mapping documentation to the payer's own medical-policy criteria — the strongest overturn class.
$4,200at stake
2
Clinical appeal citing the documented failed conservative-treatment trial before the ordered service.
$3,500at stake
3
Retro-authorization request, or appeal citing urgent/emergent circumstances or payer notification failure.
$2,400at stake
4
Retro-authorization request, or appeal citing urgent/emergent circumstances or payer notification failure.
$1,850at stake
Prepared by Intelligent Healthcare · synthetic sample · every figure above is read directly from the 835 remittance files — the only thing we need to produce this for your practice.
How to read it
The recoverable number
Not "denied dollars" — the portion our engine estimates you can actually win back, calibrated from real appeal outcomes by payer and denial reason.
How to read it
Ranked, not listed
Targets are ordered by expected value — the odds of overturning times the dollars at stake — so the first hour of work goes to the most recoverable money.
How to read it
Every next move named
Each target comes with the specific argument we'd make. Nothing is a black box; your team sees exactly what would be filed and why.