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.
estimated recoverable across 4 denied claims totaling $11,950 denied — every dollar of it appealable. The estimate is calibrated per payer and denial category from recorded appeal outcomes.
| 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 |
| Category | Claims | Denied | Appealable | Est. recovery |
|---|---|---|---|---|
| Medical necessity | 2 | $7,700 | $7,700 | $4,700 |
| Prior authorization | 2 | $4,250 | $4,250 | $2,400 |
Clinical appeal mapping documentation to the payer's own medical-policy criteria — the strongest overturn class.
Clinical appeal citing the documented failed conservative-treatment trial before the ordered service.
Retro-authorization request, or appeal citing urgent/emergent circumstances or payer notification failure.
Retro-authorization request, or appeal citing urgent/emergent circumstances or payer notification failure.
Not "denied dollars" — the portion our engine estimates you can actually win back, calibrated from real appeal outcomes by payer and denial reason.
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.
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.
Send one 835 export. Get a ranked, client-ready denial analysis back in 48 business hours — free, and yours to keep even if we never speak again.
Request the free 48-hour analysis