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Healthcare & Life Sciences · Money back · Audits cleared · Hours back · sample run · 26 ms

ClaimDenial Doctor

$7,845.00 in denials can be recovered on 9 claims: $5,810.00 to appeal (4 letters drafted) and $2,035.00 to correct and resubmit. The nearest deadline is 2026-09-24 (0 days away).

Evidence · 835 file, LAKESHORE MEDICARE ADMINISTRATIVE SERVICES remittance
DTM*405*20260522
Working

CO-50 denies $640.00 on 95910; CARC 50 is an appeal code. Medicare remit date 2026-05-22 + 5 days presumed receipt + 120 days = 2026-09-24; 0 days left as of 2026-09-24, inside the 30-day urgent window: P1.

Method

1835 segments read: BPR, TRN, DTM*405, N1*PR and N1*PE loops, CLP, NM1*QC, claim and service CAS (up to six reason/amount/quantity triplets each), MOA/MIA remarks, SVC, DTM*472, AMT*B6, LQ*HE and PLB.

2Remit date is DTM*405 (production date), or BPR16 when DTM*405 is absent. Reversals (CLP02 = 22) are excluded; the reprocessed claim is reviewed.

$7,845.00
Recoverable denials · 10 adjustments on 9 claims
RankPriorityClaim
1P1RB260405D
2P2RB260614C
3P2RB260614C
1 to 3 of 10
Reads

ANSI X12 835 remittance file or a denial export (CSV)

Produces

Prioritized appeal worklist and appeal letters (Appeal letters (4), Appeal worklist (CSV), Classified adjustments (CSV))

Price

$3,000 / month, 30% to the referring partner

Your files

Read in memory for the session, never stored, never used to train a model.

Not medical, clinical, coding or regulatory advice. A qualified healthcare, coding or regulatory professional must review every result. Letters, notices and legal analysis are drafts, not legal advice. Have a qualified lawyer review them before they are sent or relied on.