Claim Denial Worklist: CARC/RARC Root Cause, Fix and Reconsideration Letter
For medical billers and billing companies: paste the ERA/EOB with CARC and RARC codes, claim lines and denial reason and get the plain-English root cause per line, a resubmit-or-appeal decision, corrected coding and a drafted reconsideration letter with documentation list.
Use cases
- A billing company works a batch of CO-97 bundling denials on E/M visits billed with procedures.
- A small practice biller decides which denied lines to correct and resubmit and which need a formal Medicare redetermination.
- A practice manager wants a recovery estimate and prevention fixes from last month's denials.