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Specialized Denial Recovery

Recovering the Complex, High-dollar Denials Others Write Off.

A specialized legal appeals team that works as an integrated extension of your business office — overturning denials and returning earned revenue.

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The Market Need

Denials are Rising, and Most are Recoverable If You Have the Resources to Fight Them.

The recoverable dollars are concentrated in the hardest work — clinical, contractual, and high-dollar denials that demand specialized argumentation. Contesting them takes an average of three rounds of review at 45–60 days each. Under-resourced business offices write these accounts off — leaving earned revenue on the table.

~15%

of claims submitted to private payers are initially denied.

54%

of private-payer denials are overturned — but only after multiple rounds of appeal.

$18B

spent by hospitals in 2025 just to overturn denied claims.

Sources: Premier national provider survey; American Hospital Association; Kodiak Solutions State of the Revenue Cycle. Figures are industry averages and vary by payer and service line. Read the Legal Appeals launch announcement.

The Attorney Advantage

Specialized expertise for your most complex denials.

Revecore’s Legal Appeals team resolves the accounts that demand a multifaceted approach, bringing advanced legal and RCM knowledge while working as an integrated extension of your business office to overturn denials and recover more earned revenue.

Revecore's Legal Appeals service is staffed by in-house attorneys, leveraging Revecore's ReClaim™ platform.

Multi-pronged appeal drafting

Attorneys build persuasive arguments, combining contractual, procedural, and clinical inputs into one comprehensive appeal against the most complex denials.

Expert issue identification

When denials are unclear, Revecore's team pinpoints the fundamental reason a claim went unpaid — taking a layered, diagnostic approach.

High success on high-value claims

High-value denials are inherently complex, demanding deep expertise and time to dispute and resolve.

Detailed documentation

Every account receives detailed notes and enhanced appeal documentation to support future escalations as needed.

Legal Appeals does not provide legal counsel or attorney representation. The team acts as an integrated extension of your business office, consistent with Revecore’s operating model.

Resources

More Resources on Denials Management