Billing advice that actually works
Field-tested tips, checklists, and plain-language explainers from the front lines of healthcare billing. Free, whether you work with us or not.
The 5-Minute Denial Prevention Checklist
Simple pre-submission checks that catch 80% of denials before they happen. Print it, post it, use it.
Modifier-25 Decision Tree
Never guess again. Follow this flowchart to use Modifier-25 correctly every single time.
Front Desk Scripts That Actually Work
Word-for-word scripts for eligibility verification, prior auth, and patient payment conversations.
All Resources
30 articles available
Inside Muni Appeals: The Experimental Denial That Scored 88/100 for Cigna Lumbar Surgery
See the complete appeal letter, 18+ federal sources, and strategic breakdown of how Muni Appeals overturned a Cigna experimental/investigational denial for lumbar disc replacement. Full transparency into our methodology with the actual letter that works.
When to Appeal Insurance Denials (and When to Walk Away): Complete 2025 Decision Framework
Not every denial is worth fighting. Learn the exact cost-benefit framework independent practices use to decide which denials to appeal vs write off, saving thousands in wasted effort.
How to Reduce Dermatology Claim Denials by 67%: Complete 2025 Guide
Dermatology practices face 14% denial rates—nearly 3x the industry average. Learn the top 7 denial reasons (cosmetic vs medical, modifier errors, biologic prior auth) and proven strategies to reduce denials by 67%.
Insurance Appeal Deadlines by Company: Complete 2025 Filing Guide
Complete guide to insurance appeal deadlines for Aetna, BCBS, UHC, Cigna, Humana, and Premera. Learn filing timelines, expedited options, state variations, and what happens if you miss the deadline.
Inside Muni Appeals: The MRI Prior Authorization Appeal That Scored 94/100
See the complete appeal letter, 15+ research sources, and strategic breakdown of how Muni Appeals overturned a UnitedHealthcare MRI denial. Full transparency into our methodology with the actual letter that works.
Inside Muni Appeals: The Physical Therapy Denial That Scored 92/100 Against BCBS
Complete appeal letter with 16+ research sources showing how Muni Appeals overturned a Blue Cross Blue Shield medical necessity denial for CPT 97110. Full transparency into our methodology with the actual letter that works.
BCBS Letter of Medical Necessity Template 2025 [Free Download]
Free Blue Cross Blue Shield letter of medical necessity template. Complete guide with downloadable templates, documentation requirements, and BCBS-specific strategies for 84% success rate.
How to Appeal Aetna Denials in 2025: Complete Guide & Process
Step-by-step Aetna claim appeal process with 89% success rate. Learn top strategies, required forms, timelines, and proven tactics to overturn denied claims.
Inside Muni Appeals: The Infliximab Step Therapy Appeal That Scored 94/100
See the complete appeal letter, 15+ research sources, and strategic breakdown of how Muni Appeals overturned a Humana step therapy denial for J1745 infliximab. Full transparency into our methodology with the actual letter that works.
Premera Blue Cross Appeal Guide 2025: WA & AK Provider Timelines
Complete guide to appealing Premera Blue Cross denials in Washington and Alaska. Includes timely filing limits (365 days provider, 180 days member), required forms, and success strategies.
What Happens If Prior Authorization Is Denied: Complete Action Guide
Prior authorization denied? Learn what happens next, why it was denied, what to do immediately, and how to get treatment (82% appeal success rate). Includes all insurance companies.
Cigna Prior Authorization Template: Complete Cigna PA Form Guide 2025
Free Cigna prior authorization templates and forms. Includes CoverMyMeds integration, medical policy citations, fax/portal submission guide. 96 codes removed from PA list May 2025.
CPT 97110 Physical Therapy Appeal Template: Complete PT Denial Guide 2025
Get free CPT 97110 appeal templates for therapeutic exercise denials. Includes 8-minute rule documentation, medical necessity examples, and insurance-specific guidance. 86% success rate.
Humana Medical Necessity Letter Template: Complete MA & Commercial Guide 2025
Free Humana medical necessity letter templates for Medicare Advantage and commercial appeals. Includes 65-day deadline guidance, coverage policy citations, and step-by-step submission instructions. 82% success rate.
Medicare Advantage Appeal Letter Template: Complete 5-Level MA Guide 2025
Free Medicare Advantage appeal templates for all 5 levels (Level 1, IRE, ALJ, Council, Court). Includes expedited and standard appeal samples with 65-day deadline guidance. 82% success rate.
UnitedHealthcare Medical Necessity Letter Template: Complete UHC Appeal Guide 2025
Free UnitedHealthcare medical necessity letter templates for appeals. Includes InterQual criteria compliance, Gold Card Program impact, MA vs commercial timelines. 85% overturn rate.
UnitedHealthcare Prior Authorization Template: Complete UHC PA Guide 2025
Free UnitedHealthcare prior authorization templates for medical and pharmacy PA. Includes Gold Card Program explanation, 6-visit therapy update, portal submission guide, and InterQual criteria. Get PA approved faster.
Aetna Appeal Letter Template: Complete 2025 Guide with Free Downloads
Get free Aetna appeal letter templates for Level 1, Level 2, expedited, and Medicare appeals. 86% success rate with proper documentation—download now.
Aetna Medical Necessity Letter: 5 Examples by Specialty [2025]
Free Aetna medical necessity letter templates for physical therapy, specialty drugs, imaging, mental health, and DME. Includes CPB citations for 89% approval rate.
BCBS Appeal Letter Template: Complete 2025 Guide with Free Downloads
Get free Blue Cross Blue Shield appeal letter templates for all 36 state plans. 86% success rate with proper documentation—download Level 1, Level 2, and expedited templates now.
Cigna Appeal Letter Template: Complete 2025 Guide with Free Downloads
Get free Cigna appeal letter templates for commercial, Medicare, and prior auth denials. 86% success rate with Medical Coverage Policy citations—download now.
Humana Appeal Letter Template: Complete 2025 Guide with Free Downloads
Get free Humana appeal letter templates for Medicare Advantage, Part D, and commercial plans. 86% success rate with Medical Coverage Policy citations—download now.
Inside Muni Appeals: The Exact Mental Health Appeal That Scored 92/100
See the complete appeal letter, 15+ research sources, and strategic breakdown of how Muni Appeals overturned an Aetna therapy denial. Full transparency into our methodology with the actual letter that works.
UHC Appeal Letter Template: Complete 2025 Guide with Free Downloads
Get free UnitedHealthcare appeal letter templates for commercial, Medicare, and Medicaid plans. 86% success rate with OptumHealth CDG citations—download now.
Aetna Prior Authorization Denial Appeal Template 2025 [Free Download]
Free Aetna prior authorization appeal template with step-by-step instructions. Includes medical necessity justification, policy citations, and proven strategies for 89% success rate.
How to Appeal UnitedHealthcare 90834 Denials in 2025
Complete guide to appealing UnitedHealthcare denials for CPT 90834 (psychotherapy). Includes medical necessity template, evidence requirements, and success strategies with 91% overturn rate.
Calculate Savings from Automated Healthcare Claims: Free ROI Calculator
Calculate your potential savings from automated healthcare claims processing. Interactive ROI calculator shows time saved, revenue recovered, and total savings from automation.
Blue Cross Blue Shield Appeal Process 2025: Step-by-Step Guide
Complete guide to appealing BCBS denials including timelines, required forms, prior authorization disputes, and proven strategies for 75% success rate.
Medical Necessity Justification Letters: Complete 2025 Guide with Templates
Master medical necessity letters for insurance appeals. Includes proven templates, clinical evidence strategies, and insurance company-specific requirements.
Prior Authorization Denial Reasons & How to Overturn Them (2025)
Complete guide to prior authorization denial reasons, appeal strategies, success rates by insurance company, and timelines. Learn why prior auths get denied and how to fix them.