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About Denials Management

Your Medical Billing Advocate and Partner in the Fight Against Insurance

Health insurance claim and appeal procedures are ever-changing and we are here to advocate for you! Healthcare providers and families need to have expert advice and resources at their fingertips to navigate all of the complicated administrative appeal processes. With many years of experience, we have the expertise you need to fight your claim denial.

How It All Began

Denials Management, Inc. (originally Claims Management, Inc.) was founded by Mary C. Covington in February 1990 to help manage and fight wrongfully denied insurance claims. After working for insurance companies for 20 years, Mary began working at an inpatient physical rehabilitation facility as a case manager for patients. This involved performing pre-authorization and helping patients obtain coverage for life-threatening/altering injuries. With the desire to help more people, Denials Management was started due to the fact that most people were not well-versed in the nuances of fighting insurance and receiving their full insurance benefits.

Since the company was established, we have been providing thorough policy reviews, medical billing assistance, claims management services, administrative appeals support, and consultation services for providers and patients alike on the specific insurance issues they have been facing. The strength of our success comes from our vast insurance and healthcare industry knowledge, along with our proven and effective claim methods and denial handling procedures.

Mary’s experience, coupled with the skills and knowledge of our staff, Denials Management is your leading health insurance and medical billing advocate option.

Our Mission

Denials Management, Inc. is the nation’s premier healthcare & medical billing advocacy company, delivering families and health care providers high-quality utilization management, claims processing, and administrative appeal services. While maintaining a superior level of health care and insurance industry expertise, our knowledgeable staff strategically advocates for benefits and reimbursement owed to families and providers. It is our mission to influence the way insurance companies do business, one claim at a time.

How We Can Help

In the beginning, we mainly focused on medical claims. When insurance coverage was expanded in 2008 with the Mental Health Parity Addictions Equality Act and the Affordable Care Act, behavioral health and substance abuse benefits went from highly limited to unlimited. This created a large area of need for those seeking treatment, so we shifted our focus to include mental health and substance abuse treatment claims accommodate this need. We pride ourselves on our expansive knowledge of many different types of insurance claims, including:

  • Medical
  • Dental
  • Behavioral Health
  • Auto
  • Workman’s Compensation
  • Pharmacy

 

Over the years, we have also done revenue cycle management for auto and workman’s compensation claims, hospital aging report audits, hospital credit balance audits for unclaimed property, and created claim and denial management software that was utilized by several large hospital systems. So, no matter what type of claim you are fighting, we have the breadth and depth of experience to help you.

Why Choose Us?

Since 2012, our business has quintupled in size and continued to grow significantly in the last several years. With this growth, we have been able to find a top-notch team that excels in the fight against insurance. While our staff is knowledgeable in all of our services, we have service experts that are broken into teams. Our Appeals Team consists of writers from different backgrounds, such as journalists, copywriters, and grant writers. Our Utilization Review Team is made up of clinicians with different types of licensure, and we also have Clinic Social Workers and Certified Mental Health Counselors. Through diversity and different specialties, we are able to assist many people in many different situations.

In addition to our expertise and knowledge, Denials Management has won the Best in Salt Lake Award twice. The company is also a member of the National Association of Women Business Owners and Alliance of Professional Health Advocates. We support the Out of Darkness Suicide Walk, Make-a-Wish Foundation, and are partnering with the Ronald McDonald House to donate our time in order to assist families with their insurance questions. We believe in giving back and helping the community however we can. This is the same mentality we have when it comes to our clients.

Let Us Fight For You

If you need assistance fighting an insurance denial, Denials Management is here to help. Register today and we will happily look over your case!