Good Remedy / Run the back office

Denial and Appeal Management for Medical Practices

Denials become expensive when nobody owns the evidence chase, payer follow-up and appeal queue. We work the administrative file, assemble what the record supports and keep each item moving to a documented disposition.

First engagement$750 first 30-day pilot up to 40 filesStandard: $1,500/month up to 75 active denial or appeal files
Administrative denial and appeal work only. Sensitive data and system access are confirmed before live work begins.

Scope first, then pay

First engagement: $750 first 30-day pilot up to 40 files. Standard price: $1,500/month up to 75 active denial or appeal files. Scope, access and data handling are confirmed before work begins.

Start the service now. Direct checkout is not yet active for this release.

What we do

  • Classify the denial or payer request from the actual remittance and payer response
  • Match the file to the claim, authorization and available source records
  • Identify missing administrative support and request it from the named owner
  • Prepare a source-supported appeal or reconsideration packet where the client-approved basis is clear
  • Submit through an authorized route where permitted and track payer responses through disposition

Good fit when

  • Independent and multi-site medical groups with denial backlogs
  • RCM teams that need overflow capacity
  • Practices where senior staff are repeatedly rescuing routine appeal administration

What we need from you

  • ERA, EOB or payer denial response
  • Claim and encounter records needed for the administrative file
  • Relevant authorization, referral or payer documentation
  • Authorized portal access or a client-assisted submission path
  • Client clinical or coding decision where the payer issue requires one

What done means

Each admitted file ends with a documented state: paid or adjusted, payer action pending, client decision or evidence required, appeal exhausted, or closed with the reason preserved.

Boundary

Good Remedy does not make clinical-necessity judgments, invent coding or documentation, provide legal advice, sign provider attestations or guarantee payer payment. Clinical, coding and legal determinations remain with the proper client professional.

Common questions

Can you write the appeal?

We can assemble and draft the administrative appeal from admitted records and an approved basis. Clinical, coding or legal assertions require the proper client professional.

Do you work payer portals?

Only through an authorized route the client and payer permit. Shared passwords are not requested.

Can you guarantee overturns?

No. The service is the disciplined administrative work and follow-up, not a promise that the payer will reverse a decision.

Start with the actual work.

Send the backlog, document set, queue or current process. We will confirm whether the straightforward scope fits before anything moves.

Ask about Denial & Appeal Management Book a 20-minute conversation

Published by Good Remedy. First-engagement pricing is introductory where shown; standard pricing applies after the introductory engagement. Unusual complexity is confirmed before work begins. Examples are illustrative unless explicitly identified otherwise.