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Denial management that fixes the cause, not just the claim.

Denials triaged fast, appealed properly and traced to their root cause so they stop recurring.

Illustration of a team working through denied claims together
Appeal filed on time
Denial Management

What it is and why it matters

Every denied claim is revenue on hold. Many are recoverable, but only if they are worked quickly and appealed before the payer's deadline. Left alone, they age into write-offs.

Aube sorts denials by reason code and root cause, drafts and submits appeals within payer timelines, and reports trends so recurring problems are fixed upstream in eligibility, authorization, coding or documentation. Aube clients report 30%+ fewer denials.

What we handle

  • Denials categorized by reason code and root cause
  • Appeals drafted and submitted within payer timelines
  • Corrected claims resubmitted where appropriate
  • Denial trend reporting by payer, code and cause
  • Root cause feedback to eligibility, coding and documentation
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How it works

How we handle denial management.

01

Triage

New denials are sorted by reason code, amount and deadline so the most recoverable claims come first.

02

Correct or appeal

Simple errors are fixed and resubmitted. Others get a written appeal with the supporting records.

03

Track to resolution

Every appeal is followed until the payer decides, and escalated if needed.

04

Prevent the repeat

Root causes are fed back to the teams that can fix them, so the same denial stops happening.

The payoff

What you get with Aube.

Revenue recovered

Timely, well-documented appeals turn many denials back into payments.

Fewer denials over time

Fixing causes upstream reduces new denials, not just old ones.

Clear trend reporting

You can see which payers, codes and processes are costing you money.

Questions

Denial Management FAQs.

What are the most common reasons claims are denied?

Frequent causes include missing or incorrect information, eligibility problems, missing authorization, coding errors, duplicate claims and missed filing deadlines.

How long do I have to appeal a denial?

Appeal windows vary by payer and plan, so we track the deadline for each denial and work within it.

Can denied claims really be recovered?

Many can, when the cause is fixable and the appeal is timely and well documented. Some denials are valid, and for those the value is in preventing repeats.

How do you reduce denials long term?

We trace each denial to its root cause and fix it at the source, whether that is eligibility, authorization, coding or documentation.

Keep going

Related services.

Account Receivable

Persistent, organized follow-up on every unpaid claim, so revenue does not quietly age out.

Learn more →

Medical Coding

Certified coders translate clinical documentation into accurate, defensible, compliant claims.

Learn more →

Pre-Authorization

Authorizations requested, tracked and documented before care is delivered, so approved services get paid.

Learn more →

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