Stop insurance denials before they happen.
DenylClaims auto-drafts payer-specific clinical documentation that mirrors the exact language each insurer's adjudication system approves — so your claims pass on the first submission.
No contract required. Results in 48 hours.
Primary Care PT · Blue Cross IL · Last 90 days
DenylClaims identified 4 documentation gaps causing $8,200 in projected monthly denials.
The Problem
Hospital networks have full RCM departments. You have a fax machine.
Independent PT clinics face the same automated payer systems as hospital billing teams — without the staff, technology, or specialized expertise to compete. The result is a denial rate that quietly bleeds your revenue.
Hours spent on phone trees and fax machines every week — time that should go to patient care.
Each insurer uses its own adjudication criteria. Generic documentation triggers automated denials before a human ever reads it.
Denied claims pile up. Every day without a resubmission is cash flow bleeding out — with no intelligent tooling to fight back.
How It Works
From denial-prone to first-pass approved in three steps
Denial Risk Scan
Send us three months of claim data. We surface your highest-risk billing codes, flagged payer combinations, and the exact documentation gaps triggering your denials — free.
Payer-Matched Drafting
DenylClaims reads your clinician notes and auto-drafts clinical documentation using the exact medical-necessity language each payer's adjudication system is trained to approve.
First-Pass Approval
Claims go out backed by documentation that mirrors what payers want to see. Watch your first-pass approval rate climb and your denial appeals queue shrink.
Why DenylClaims
Specialty-specific. Payer-aware. Built only for outpatient PT.
Coverage for 40+ major commercial payers and Medicare. Language models fine-tuned on denial patterns, appeals decisions, and insurer-specific medical necessity criteria.
Deep knowledge of CPT 97000-series codes, functional limitation reporting, KX modifier rules, and therapy cap exceptions — not generic clinical AI.
DenylClaims drops into your documentation workflow without replacing your EMR. Draft, review, and export in under two minutes per claim.
As automated prior auth adjudication becomes mandated, documentation quality determines outcomes. DenylClaims arms your practice to meet that standard automatically.
No commitment required
See exactly where your revenue is leaking — free.
Send us 90 days of claim data and we'll return a full Denial Risk Scan: your highest-risk CPT codes, flagged payer combinations, and estimated monthly revenue at risk — with concrete steps to fix each gap.
- Denial pattern analysis by CPT code and payer
- Estimated monthly revenue impact
- Documentation gap report
- Specific language recommendations per payer
- Delivered in 48 hours via email
Pricing
Pay for outcomes, not complexity
At ≤2% of recovered revenue, DenylClaims pays for itself in the first week of use.
Perfect for solo practitioners and clinics under 3 providers.
- Up to 200 claims/month
- 15 payer language packs
- Denial risk dashboard
- Email support
For multi-provider clinics ready to drive measurable revenue recovery.
- Unlimited claims
- 40+ payer language packs
- Prior auth auto-drafts
- Appeal letter generation
- Priority support
All plans include a free Denial Risk Scan. No credit card required to start.
Built for the fight
Payers deployed automated adjudication. You need automated documentation.
CMS-0057-F mandates faster prior auth decisions and pushes payers toward machine-driven systems. DenylClaims ensures your documentation speaks that language — specialty by specialty, payer by payer.