🔍 Denial Resolution Tool

Stop Guessing Why Claims Are Denied

Denial Intelligence™ transforms confusing insurance EOBs into clear, structured answers — so your team knows exactly why a claim wasn't paid and precisely what to do next.

$29 / month · billed annually
Denial Intelligence™ — Unraveling the Mystery of Claim Denials
How It Works

Three Steps to Denial Resolution

1
Launch Denial Intelligence

Log in to your MediClaim Works portal and open the Denial Intelligence™ tool. No setup required — it's ready when you are.

2
Upload Your EOB

Upload a PDF of the Explanation of Benefits directly into the system. The tool accepts EOBs from any payer.

3
Get Clear Answers

Receive an instant structured breakdown of what the payer said, why the claim was denied, and the exact steps to resolve it.

Why It Matters

Denials Cost You More Than Just Revenue

Insurance denials are frequently misunderstood, leading to unnecessary write-offs, repeated submission errors, and hours of staff time spent chasing answers that should have been clear from the start.

Denial Intelligence™ standardizes how your team interprets EOBs — so every denial gets handled correctly the first time, based on what the payer actually said.

  • Eliminate guesswork on complex payer EOB language
  • Reduce unnecessary write-offs from misunderstood denials
  • Shorten resolution time and speed up resubmission
  • Standardize denial handling across your entire billing team
  • Build a stronger reimbursement strategy with every claim worked
EOB Input
Procedure E0486 — Oral Appliance
Billed Amount $2,400.00
Payer Decision Denied — CO-4
Remark Code M76
Denial Intelligence™ Analysis
CO-4 indicates the procedure code is inconsistent with the modifier billed. M76 confirms missing prior authorization documentation. Action: Resubmit with prior auth number and correct modifier. Attach sleep study and prescription.
See It In Action

Watch Denial Intelligence™ Work

See how quickly your team can go from a confusing EOB denial to a clear, confident resolution plan.

Subscription

Simple, Affordable Pricing

One flat monthly rate gives your entire team unlimited on-demand EOB analysis and denial resolution guidance.

Most Popular
Denial Intelligence™
$ 29 /mo
Billed annually · Cancel anytime
  • Unlimited EOB uploads and analysis
  • Instant denial reason breakdown
  • Step-by-step resolution guidance
  • Supports all major payers
  • Full team access — no per-seat fees
  • Continuously updated payer intelligence
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