Professional EOB Denial Analysis for Healthcare Providers | RevQuest LLC

Upload all payer EOBs and get a 90-day breakdown of the denial patterns, downcoding trends, and revenue leaks impacting your practice. This tier gives you a full-scope view across every payer in 5 to 7 business days — so you can stop guessing and finally see what’s driving your financial losses.

Stop Guessing Why Your Claims Are Being Cut

Upload all payers’ EOBs for a full 90-day review.

You’ll receive a detailed report, plus a 15-minute review call to walk through findings and next steps.

What You'll Receive

✅ Your Custom Denial Decoder™ Report (delivered as password-protected PDF):

What you'll know after reading it:

The top 3-5 patterns costing you the most — ranked by dollar impact
Example: "Cigna downcoded 47% of your 99214s = $2,340 lost over 90 days"

Which CPT codes are being targeted — and by which payers
So you know exactly where to focus your attention

Estimated revenue impact per pattern — in actual dollars, not percentages
"This bundling issue is costing you ~$350/month."

Clear next steps — appeal these claims, fix this process, watch this payer
No guessing. Just a roadmap you can implement this week.

All analyses are performed using RevQuest LLC’s proprietary Denial Decoder™ framework — a structured, confidential method developed to identify payer-specific denial trends and revenue gaps.

Optional Add-Ons

Maximize the value of your Denial Decoder™ report:

💡 30-Minute Review Call – $97
Walk through your findings live with Q&A. Perfect if you want help prioritizing which patterns to tackle first or need clarification on specific recommendations.

📋 Written Action Plan – $47
Get detailed, step-by-step implementation instructions for addressing your top denial patterns. Includes timelines and specific tasks for your team.

📊 Provider/Location Split Report – $47
Break out denial patterns by individual provider or location. Ideal for multi-provider practices or groups with multiple offices.

✉️ Appeal Letter Draft – $197–$397
Custom appeal letter for your top denial pattern, ready to submit. Includes supporting documentation, guidance, and payer-specific language.

Add-ons can be purchased during checkout or after receiving your report.

How It Works

1. Purchase your Denial Decoder tier
2. Upload de-identified EOBs via secure form (link sent after checkout). You’ll receive upload instructions immediately after purchase — no PHI or patient identifiers required.
3. Receive "Files Received" confirmation within 1 business day
4. Get your report via password-protected PDF

Turnaround begins after files are validated.

File Preparation Rules

✅ Remove These Before Uploading (De-Identification Required)

• Patient names, DOBs, addresses
• Member IDs, MRNs, account numbers
• Any handwritten notes with identifiable info

✅ Keep These Details Visible

• Payer name, CPT/revenue codes, denial codes
• Dates of service, dollar amounts, and provider names

📂 File Requirements

• Time Range: One continuous 30-day window per payer (90 days for Comprehensive)
• Formats Accepted: PDF, TIFF, PNG, JPG, CSV, XLS, XLSX

Max File Size: 25MB per file

• EOBs outside your tier's date range will not be analyzed

Why Denial Decoder Works

✓ Built on 23+ years of RCM expertise:
Denial Decoder™ is based on the same analysis framework I've used to recover millions for practices nationwide.

✓ Pattern Recognition — I spot the trends your team doesn't have time to see

✓ Fast Results — Reports delivered in 5-7 business days (not weeks or months)

✓ Actionable Insights — Not just "here's what's wrong" but "here's exactly what to do."

✓ No Ongoing Commitment — One-time analysis. No contracts. No subscriptions.

FREQUENTLY ASKED QUESTIONS

Q: What if I don’t have EOBs?
A: That’s fine. We can review denial reports exported from your practice management (PM) or billing system instead. Once you purchase, we’ll guide you on what to send securely.

Q: How many denials should I submit?
A: It depends on your selected tier. Focus on quality over quantity—send the denials that repeat most often or cause the biggest reimbursement delays.

Q: Will you write appeals for me?
A: Denial Decoder™ identifies why denials occur and outlines what to do next. If you’d like us to write appeals, see our separate Appeals Writing Service ($197–$397 per appeal).

Q: What if I have more than 25 denials?
A: For higher-volume denial reviews, consider our A/R Recovery Scorecard™ ($297) or A/R Recovery Cleanup™ (custom pricing). Those services are designed for larger data sets.

Q: How quickly will I get results?
A:

• Tier 1 (Single-Payer): 2–3 business days
• Tier 2 (Multi-Payer): 3–5 business days
• Tier 3 (Comprehensive): 5–7 business days (includes review call)

Q: What if I don’t understand the findings?
A: Tier 3 includes a review call to walk through your report. Tier 1 and Tier 2 clients can add a 15-minute call for $47 if they’d like clarification or next-step guidance.

Q: Is my information secure?
A: Yes. All uploads are stored in encrypted cloud storage, reviewed by RevQuest LLC only, and deleted within 30–60 days after delivery. Reports are retained for 12 months for your reference.

Q: Can I use this service for multiple payers?
A: Absolutely. Select Tier 2 (Multi-Payer) for up to three payers or Tier 3 (Comprehensive) for all payers across 90 days.

Data & Privacy

• All uploads are deleted 30–60 days after delivery
• Reports retained for 12 months for your reference
• RevQuest LLC does not act as a HIPAA-covered entity for this service

Privacy Disclaimer

RevQuest LLC handles all uploaded materials with strict confidentiality. Files are reviewed only for analysis, stored in encrypted cloud storage, and permanently deleted within 30–60 days after report delivery.

While RevQuest LLC follows strong data protection practices, this service does not establish a HIPAA-covered entity or Business Associate relationship.

🟣 Holiday & Closure Buffer
RevQuest LLC observes all U.S. federal holidays.

If a holiday occurs during your report’s turnaround window, delivery time will extend by one additional business day.

You will receive confirmation if your order window overlaps with a closure date. All other service timelines remain the same.

Refund Policy

Once your files are confirmed, the analysis starts. Your Denial Decoder™ report will be delivered within 5-7 business days as a password-protected PDF.

We stand behind the accuracy and value of every Denial Decoder™ analysis.

If your completed multi-payer report does not identify at least 3× the cost of your tier in potential recoverable revenue or preventable losses, you may request a partial refund of 50% of your payment.

To qualify:

• Refund requests must be submitted within 7 days of receiving your report.
• You must provide a short explanation of which findings did not meet the 3× value threshold.
• This guarantee applies to the analysis delivered, not whether your team chooses to implement the recommendations or submit appeals.
• If your files cannot be validated before analysis begins (for example, corrupted, unreadable, or missing essential details), you will receive a full refund.
• One clarification round is included to ensure findings are fully understood.

“Done” means: delivered PDF with Summary, Top Denial/Downcoding Patterns, Cross-Payer Trends, Financial Impact Estimate, and Next Steps, within the accepted scope window and tier.

If you’d like help reviewing the findings, you may add a 30-minute Review Call ($97) to walk through your results and discuss next steps.

Ready to Decode Your Denials?

Stop wondering why your payments are lower than expected.
Get clarity in days, not weeks, with your Denial Decoder™ analysis.

Enrollment in this Beta offer provides a one-time professional analysis and does not create an ongoing service or consulting relationship with RevQuest LLC.

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