Denial Management Services

Your revenue shouldn’t stop at “Denied.”

41% of surveyed providers report that at least 10% of their claims are denied.

Anka’s AI-powered denial management services investigate denial reasons, identify the appropriate next action and carry out corrections, appeals and payer follow-ups, with expert RCM oversight where it matters.

Fighting a denied claim costs providers $57.23 on average. Seeing how Anka can help costs nothing.
HIPAA Compliant SOC 2 Certified 4 weeks to go live
The Challenge

Denials create work. Who has the capacity to do it?

Payers are bringing AI and automation into coverage decisions. Your team still has to investigate the denial, find the documentation, prepare the response and follow up.

The problem isn’t simply identifying what went wrong. It’s getting the next action done across a queue that keeps growing.

73% Of surveyed providers say claim corrections require moderate to extensive manual effort.

Still on your team’s plate

  • 1Investigate the denial
  • 2Find the documentation
  • 3Prepare the response
  • 4Follow up
End-to-End Ownership

Your denial queue. Anka’s responsibility.

Anka takes end-to-end ownership of your denial queue: from investigating why a claim was denied to preparing corrections and appeals, submitting them and following up with payers.

How It Works

How Anka’s denial management services work.

Six steps. From investigation to resolution.

  1. 01 / 06

    Understand why it was denied

    Anka reviews payer remittance information to identify the denial reason, claim details and action required.

  2. 02 / 06

    Gather the supporting evidence

    Retrieve relevant clinical records, authorization details and other documentation from your EHR to support the response.

  3. 03 / 06

    Build the right response

    Prepare a claim correction or payer-specific appeal based on the denial reason, available evidence and applicable requirements.

  4. 04 / 06

    Bring in expert judgment

    Route complex denials, documentation gaps and exceptions to RCM specialists for review.

  5. 05 / 06

    Submit and follow through

    Submit through the appropriate payer channel, track filing deadlines and follow up on the response.

  6. 06 / 06

    Track the outcome. Assess what comes next.

    Record the payer’s decision and pursue further action where the evidence, deadlines and appeal rules allow.

Your team can see what’s been done, what remains open and where attention is needed.

Real Results

Anka Drives Real Outcomes

Texas Radiology Group

Authorization gaps. Coding errors. Low-dollar denials left unworked.

A high-volume radiology practice needed more than visibility into the problem. It needed systematic action across eligibility, coding and accounts receivable.

See How a Radiology Group Reduced Denials by 61% →
61%
Denial rate
reduction
$5M
Revenue recovered
within 12 months
93%
Clean claim rate
improved from 81%

What could a more effective denial workflow mean for your organization?

See how Anka can help your team identify the next action and carry it through.

FAQ

FAQs

Denial management services help healthcare organizations investigate denied claims, identify the appropriate response and pursue resolution. Anka handles denial analysis, documentation retrieval, corrections, appeals and payer follow-up within the agreed scope.

No. Some need corrected information or additional documentation. Others warrant an appeal. Anka assesses the denial reason and supporting evidence to identify the appropriate next action.

Anka considers claim value, aging, filing deadlines, payer requirements and the evidence available to support recovery. Priorities are agreed around your organization’s needs.

Anka reviews the payer’s response and assesses whether further action is appropriate. Additional documentation, another appeal level or expert review may be required. Further action depends on payer rules, deadlines and the strength of the case.

RCM specialists review complex cases, documentation exceptions and issues requiring judgment. The review and escalation process is defined as part of your service scope.

We review your EHR, billing systems and data requirements during evaluation to confirm the integration approach and supported workflows.

Anka carries out agreed denial workflows, helping reduce repetitive work and giving your team more capacity to focus on complex accounts.

Anka reviews denial reasons and supporting records to identify issues affecting reimbursement. Corrections and coding decisions are handled within the agreed scope, with appropriate expert review.

Implementation depends on your systems, data access and service scope. Your evaluation establishes the requirements and expected go-live timeline.

The Full Picture

Denial management is step one. Connect the complete execution layer.

Recovering revenue takes more than resolving denials. Anka connects denial work with underpayment recovery and AR follow-up, supporting your medical billing and collections team across unresolved accounts.

Underpayment Recovery

The payer paid. Did they pay the right amount?

Identify payments below expected reimbursement and pursue the difference.

Explore Underpayment Recovery →
AR Follow-Up

No denial doesn’t mean no problem.

Prioritize outstanding claims, check payment status and follow up with payers to address what’s holding payment back.

Explore AR Follow-Up →

Your denial queue needs action. Let’s show you what that looks like.

See how Anka investigates a denial, prepares the response and follows through, with RCM experts where judgment matters.