Send one de-identified matter. We'll confirm fit, scope, and fee.
No PHI and no commitment. The initial review confirms service fit, whether physician input may be useful, the documents required, and the appropriate paid engagement. It does not include a substantive clinical argument, pursuit recommendation, or deadline advice.
- Denial rationale, payer and plan type
- Service line, approximate value, and current appeal level
- Denial date or client-supplied appeal deadline, if known
- Brief description of why the case is stuck
- Current IDR stage and client-supplied submission deadline
- Service category, dispute configuration, and approximate line-item count
- Central clinical distinction and documents currently available
- Existing narrative status and preferred partnership type
Do not send PHI. De-identify all materials before sending. The suitability review does not require protected health information. PHI workflow is formalized only after scope approval and BAA execution.
Initial fit response within 24–48 hours. It confirms whether the matter appears within scope, whether physician review may add value, the documents required, and the appropriate paid engagement. Substantive clinical review begins only after scope approval.
For RCM firms, denial-management companies, AI vendors, and platform integration inquiries — a conversation is often the right first step.
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One form for every engagement type—select the relevant workflow below. Clinovian will confirm service fit, required records, turnaround, and fixed fee before records are transferred. No PHI and no commitment.