Denial Management Services That Recover Revenue Faster

Claim denials are a growing challenge for healthcare organizations, costing over $262 billion annually. With over 33% of hospitals facing denial rates exceeding 10%, efficient denial management isn’t optional—it’s critical.

At SolvEdge, we combine advanced AI tools, actionable insights, and industry expertise to help healthcare organizations reduce denial rates, recover lost revenue, and maintain positive cash flow.

  • ✓ Reduce Denial Rates
  • ✓ Improve Cash Flow
  • ✓ Protect Your Bottom Line
Healthcare Professional
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The Cost of Ineffective Denial Management

Struggling with claim denials? Here’s how it impacts healthcare organizations:

  • $262 billion in claims are denied annually in the US.
  • Preventable denials account for 3% of net patient revenue.
  • Reworking denied claims costs $118 per claim, adding to administrative burdens.

Why Leading Healthcare Providers
Choose SolvEdge

SolvEdge takes a proactive approach to denial management, going beyond just resolution to focus on prevention, recovery, and compliance

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Proven Expertise

Over a decade of experience helping hospitals and clinics reduce denial rates by up to 50%.

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AI-Driven Solutions

Leverage cutting-edge tools like ZO for faster, smarter denial resolution.

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End-to-End Support

From root cause analysis to denial prevention strategies, we’ve got you covered.

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Custom Insights

Real-time analytics tailored to uncover and eliminate revenue leakage.

Key Features of SolvEdge Denial Management

Our denial management services are built to drive results. Here's how we help you succeed

Root Cause Analysis

Identify the top reasons behind claim denials and implement targeted interventions to prevent recurrence.

AI-Assisted Denial Management

Automate denial processes to recover revenue faster and reduce claim rework cycles with our advanced AI solutions.

Compliance Assurance

Minimize risks with insurer-specific billing rules and proactive regulatory adherence.

Meet ZO: Your Denial Management Assistant

  • Advanced data analytics to uncover denial patterns
  • Predictive tools to prevent future denials.
  • Real-time dashboards to track recovery progress.

The SolvEdge Advantage

Partner with SolvEdge to experience transformative results

Before SolvEdge
High claim denial rates
Revenue leakage
Manual, error-prone processes
Reactive compliance approach
Limited visibility into performance
After SolvEdge
Optimized claim acceptance
Maximized revenue recovery
Automated, accurate workflows
Proactive compliance management
Data-driven decision making

Results That Speak for Themselves

With SolvEdge, healthcare organizations have achieved

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Client Testimonials

“SolvEdge transformed our denial management process, saving us over $2M in just six months!”

CFO
Leading Healthcare Provider

Discover Your Denial Impact

Use our Denial Calculator to evaluate how much revenue you could reclaim with SolvEdge’s services

Frequently Asked Questions

We focus on denial resolution and prevention, using our proprietary 4Clover Approach to analyze, strategize, discover, and implement solutions.

ZO is an advanced denial management software that uses predictive and comparative data analytics to categorize and resolve denials efficiently.

Our services are tailored for hospitals, independent practices, and specialized clinics across the US.

We monitor claims against regulatory standards and payer-specific rules to ensure accurate submissions and avoid penalties.