Denial Decoder™ — Your 30-Day Professional EOB Denial Analysis - When Your Practice Has No Time (Single Payer Tier)
Professional 30-Day EOB payer-pattern analysis that helps you catch denials and downcoding trends before they become revenue loss.
If your report doesn’t reveal at least 3× the cost of your tier in recoverable or preventable losses, you qualify for a partial refund. No risk. Just clarity.
Stop Guessing Why Your Claims Are Being Cut
Most practices are too short-staffed or overloaded to analyze EOB patterns each month.
The Denial Decoder™ reviews your past 30 days of claims for you — uncovering the top 3–5 denial issues, downcoding patterns, and revenue gaps you haven’t had time to identify. You’ll receive a clear, structured report showing where losses are coming from and what to do next.
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
Step 1: Purchase your tier → You're in! Confirmation email arrives instantly
Step 2: Upload de-identified EOBs via secure form → Instructions sent within 5 minutes of purchase
Step 3: Receive "Files Received" confirmation → Within 1 business day
Step 4: Get your report via password-protected PDF → Delivered in 2-3 business days
Total timeline: Report in your inbox within 2-3 days of file upload.
File Preparation Rules
✅ Remove These Before Uploading (De-Identification Required)
Patient names, DOBs, addresses
Member IDs, MRNs, and 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 2-3 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 2 and Tier 3 include a review call to walk through your report. Tier 1 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 EOB file is validated, your Denial Decoder™ review begins. Your report will be delivered within 2–3 business days as a password-protected PDF.
We stand behind the quality and accuracy of every Denial Decoder™ report.
If your completed 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:
Your refund request must be submitted within 7 days of receiving your report.
You must provide a brief explanation of which findings did not meet the 3× value threshold.
This guarantee covers the analysis delivered, not whether your team chooses to implement the recommendations or appeal the claims identified.
If your files cannot be validated prior to analysis (for example, corrupted, unreadable, or missing essential details), you will receive a full refund.
One clarification round is included to ensure the findings are fully understood.
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.
RevQuest LLC | Revenue Reset™
Denial Decoder © 2025
Your Denial Decoder™ report provides a full 30-day EOB denial analysis from one payer — delivered clearly, quickly, and confidentially. The Single Payer Tier is $67 and includes expert review, pattern identification, and actionable next steps.