Denial Management & Appeals

Each claim has an accountable team member who provides detailed reports to track denials, so you can always be aware of where we are in the process. If there are denials for whatever reason, we promptly make corrections and resubmit claims.

Additionally, our team understands that appealing denied, or underpaid claims is essential to the successful operation of our clients. Over the years, we have developed a comprehensive appeal process that we have adapted to specific payers. What may have been a successful appeals strategy a year ago may not work today, as payers continue to change their processes. Our cutting-edge team of appeals experts stay on top of what is required for successful appeals today.

Many within our industry wait to appeal until thirty days after they receive the first denial from the carrier. Then, they wait another thirty days to send another appeal letter. Eventually, they might contact the payer by phone. At Gryphon, we contact early, often, and personally.