Denial Management Services for Medical Practices Nationwide

Denial management is the process of identifying, analyzing, appealing, and preventing insurance claim denials. It includes tracking why claims were denied, submitting formal appeals with supporting documentation, correcting and resubmitting rejected claims, and implementing prevention strategies to reduce future denials — recovering revenue that would otherwise be written off.

The industry average claim denial rate is 5–10%. Practices with poor denial management often see rates above 15–20%. Aura Practice Management's rigorous pre-submission claim scrubbing, certified coding, and real-time eligibility checks consistently keep our clients' denial rates well below the national average.

Most insurance payers are required to respond to a formal appeal within 30–60 days, though timelines vary by payer and state. Our team submits appeals immediately upon denial, tracks every case to resolution, and escalates to external independent review when necessary to maximize your recovery rate.

We appeal all types of denials including: medical necessity denials, coding errors (incorrect ICD-10 or CPT codes), missing or invalid information, eligibility and coverage issues, timely filing limit denials, prior authorization denials, duplicate claim denials, coordination of benefits issues, and provider credentialing problems.

Yes, in many cases. Most payers allow appeals within 90–180 days of the denial date, and some allow up to one year. We conduct a thorough review of your outstanding denied claims — including older accounts — to identify recovery opportunities before appeal deadlines expire.

Yes. We provide fully remote denial management services to practices in all 50 states. Our team integrates with your existing EHR and billing software to access denied claims, manage appeals, and track recovery — regardless of your practice location across the USA.