Show the work
See exactly what you get.
No demo call needed. This page shows the portal you log into and the documents we produce, presented as labeled samples, so you can judge the work before you hand anyone a file.
Your portal, live from day one
Below is a faithful rendering of the client dashboard, populated with sample data. Your practice sees its own numbers the day your first files are ingested. Every claim, status change, and recovered dollar lands here as it happens.
Your recovery at a glance
A transparent view of the denied claims we’re recovering on your behalf.
Recovered over time
Last 7 monthsTop payers recovered
Recently recovered
View all claims →| Claim # | Payer | Denial reason | Denied | Recovered | Status |
|---|---|---|---|---|---|
| CLM-88472 | Delta Dental | Missing tooth clause | $4,820 | Paid | |
| CLM-88455 | Cigna | Needs narrative | $3,410 | Paid | |
| CLM-88401 | MetLife | Frequency limitation | $2,240 | Partially paid | |
| CLM-88377 | Aetna | Coordination of benefits | $5,140 | Paid |
The appeal letter format
This is the structure of a first-level appeal for a CO-197 authorization denial. Every bracketed field is filled from your claim data before a specialist reviews the letter.
Sample format, illustrative data
[Practice Name]
[Practice Street Address], [City, State ZIP]
NPI: [Billing NPI] · TIN: [Tax ID]
[Date]
Appeals Department
[Payer]
[Payer Appeals Address]
Re: First-level appeal of claim #CLM-XXXXX, denied under reason code CO-197 (precertification/authorization absent)
Patient: ██████████ · Member ID: ██████████
Date of service: [DOS] · Procedure: D4341, periodontal scaling and root
planing, [quadrant]
To the Appeals Department:
We are appealing the denial of the claim referenced above, which was denied under reason code CO-197 for a missing prior authorization. The treatment was clinically necessary and was performed in good faith after the patient's eligibility was verified. We respectfully request retroactive authorization and reprocessing of this claim.
The enclosed clinical narrative documents generalized 5 to 7 mm pocket depths, radiographic bone loss, and bleeding on probing in the treated quadrants, which meets the plan's published criteria for D4341. [Payer] allows retroactive authorization under its own provider policy when clinical necessity is documented, and the attached records establish exactly that.
We ask that [Payer] grant retro-authorization, reprocess the claim, and issue payment according to the member's plan benefits. If any additional documentation is required, please contact our office directly and we will provide it promptly.
Enclosures: full-mouth radiographs, periodontal charting, clinical narrative, copy of the original claim
Sincerely,
[Treating Dentist], DDS
[Practice Name]
Every letter is drafted from your claim data and the payer's own published rules, then reviewed by a specialist before it is sent. The structure stays the same; the evidence changes with every claim.
The reports
Two documents keep the money accountable: the statement that explains our fee, and the report that shows the work behind it.
Monthly recovery statement
Once a month you get a plain statement: what was recovered, what our fee is, and what lands with the practice. Claim by claim, with nothing hidden in the math.
| Claim | Payer | Recovered |
|---|---|---|
| CLM-88214 | Delta Dental | $1,930 |
| CLM-88377 | MetLife | $1,145 |
| CLM-88402 | Cigna | $760 |
| and 8 more claims this month | ||
| Recovered this month · 11 claims | $8,420 | |
| Fee (20%) | $1,684 | |
| Net to practice | $6,736 | |
Recovery report
The detailed report behind the statement. One row per claim, so our numbers can be checked against yours at any time. It includes:
- Per-claim status, from intake through resolution
- Dollars denied, appealed, and recovered on every claim
- Payer and denial reason code for each claim
- Resolution time, so you can see how long each payer takes to pay
It exports from the portal as a CSV anytime. You never have to ask us for your own numbers.
Want this for your denials?
Run the free audit to see what your denied claims are worth. It works in your browser in about a minute, and nothing is uploaded. Onboarding is fully online and takes about ten.