Losing 5% to 10% of revenue to claim denials is common for many US healthcare providers. That’s a lot of money slipping through the cracks. But there’s a way to fix it. The right denial management company can recover nearly 90% of those lost payments.
Denial management isn’t just about fixing mistakes. It’s about keeping your practice financially healthy. Insurance rules change all the time. Billing codes get tricky. Handling all that alone? It’s stressful and costly.
The demand for denial management services keeps growing. More providers want experts who know the ins and outs of billing and insurance. They want tools that catch errors fast and keep claims moving.
This guide walks you through the 10 best denial management companies in the US. You’ll see who stands out on success, technology, and client satisfaction. Whether you’re a small clinic or a big hospital, this list helps you find the right partner to protect your revenue.
How We Selected These Companies (Methodology)
We looked at several key factors to rank the best denial management companies. First, we checked their denial recovery rates. The industry average denial rate is 15–30%, so we focused on companies that beat that by a good margin.
Next, we examined the technology they use. Companies with AI, automation, and strong analytics stood out because they work faster and catch more errors.
We also considered the specialties each company serves. Some focus on hospitals, others on small clinics or specific medical fields. We wanted options for every practice type.
Pricing transparency was a must. Hidden fees create frustration. We picked companies with clear, straightforward pricing.
Finally, we reviewed customer feedback. We checked trusted sites like BBB, G2, and Capterra to hear from actual users.
This method helped us find denial management partners who deliver real value.
Top 10 Denial Management Companies in the U.S.
Here are the Top 10 Denial Management Companies in the U.S.:
1. Connexus Cure
Connexus Cure focuses on helping small and medium clinics tackle denied claims head-on. With real people handling each case, Connexus Cure help clean up accounts receivable and improve payment recovery. Their clients report stronger denial recovery and smoother AR cycles. They offer expert denial reviews, rapid follow-up, and hands-on support. Their plans are flexible, and pricing is transparent—with no hidden fees. What sets them apart is their small-practice focus and commitment to help teams regain revenue fast.
2. R1 RCM
R1 RCM serves large health systems and physician groups with a blend of automation and expert support. Their team uses denial analytics and account-level review to catch issues early. Clients often see more than a 30% bump in claim recovery thanks to a mix of automated workflows and live appeals. They integrate with most major EHR systems and offer custom pricing. Their strength is scaling advanced denial management strategies across large provider networks—without losing precision.
3. Kareo (Tebra)
Kareo, now part of Tebra, is built for small to mid-sized clinics. Their platform combines practice management with billing software that includes denial alerts and automated appeal prompts. Physicians get fast feedback on claims and patient billing along the way. Practices see fewer late rejections, and reimbursements clear faster. Plans are subscription-based, making the pricing predictable. Their edge is simplicity and seamless clinical and billing integration for smaller teams.
4. CureMD
CureMD offers cloud-based billing services, with denial management built in. Ambulatory clinics and specialties often use their dashboards to track denials, submit automated appeals, and make data-driven adjustments. Clients consistently report fewer rejections and faster reimbursements. Their flexible subscription packages make them accessible for growing practices. They stand out for delivering a polished platform that combines EHR, billing, and denial tools in one.
5. Athena Health
Athena Health is respected for its broad RCM platform and denial handling tools. They offer real-time alerts on denial trends, payer-specific workflows, and analytics that help teams tweak their billing processes. Large multi-specialty practices and health systems benefit from Athena’s blend of automation, reporting, and payor collaboration. Coverage extends across many specialties, and they support both subscription and percent-of-collections pricing. What stands out is their visibility into payer behavior and emphasis on clean claims from the start.
6. Optum360
Part of UnitedHealth Group, Optum360 takes a prevention-first approach to denial management. They work to stop denials before they occur, using payer insights, review rules, and ongoing training. Their tools and human teams track issue patterns, escalate appeals, and advise practices on better documentation. They serve hospitals and large provider groups, integrating with many EHR platforms. Pricing is custom, based on managed service agreements. Their strength is deep access to payer data and proactive issue avoidance.
7. BilNow
BilNow is a boutique denial and billing specialist for private practices. They keep rejection rates extremely low—often around 1%—and work quickly to fix any underpayments. BilNow’s clients typically recover 20–25% more revenue in the first few months. Their system is tailored to specialty clinics, and pricing is clear and fair. BilNow combines smart dashboards with real human review. They win trust by reducing billing mistakes and improving claims cleanly and consistently.
8. Transcure
Transcure has over a decade of billing experience and manages denials using automation and global support. With a mix of robotic tools and human follow-up, they help practices maintain nearly 98% first-pass claim rate. Clients see 4–9% revenue lift and AR aging drop to about 24 days on average. Their service expands across specialties, and rate structures scale with volume. Transcure’s strength is in fast results and leveraging global team scale smartly.
9. MediBillMD
MediBillMD specialize in fixing denied claims. Their team is certified and focused on real results no filler. Their denial management services offer complete solutions. That includes denial analysis, A/R recovery, appeal filing, and root-cause reviews. They dig into denial explanations, fix errors, and resubmit accurately MediBillMD offers scalable plans, starting with flexible subscription-based pricing. Their standout qualities are fast communication, expert appeal execution, and consistent financial gains for small to mid-sized practices.
10. CareCloud
CareCloud’s denial management is built right into their larger RCM platform. Practices get intuitive claim workflows, automated denial tracking, and root cause dashboards. Clients notice cleaner billing and tighter follow-up from day one. Their subscription model means predictable cost, and integration with the rest of the CareCloud suite keeps workflows smooth. They stand out for tying denial tools directly into broader practice management systems.
What is Denial Management?
Claim denials happen when insurers refuse to pay for a medical service. It can feel like a roadblock, and it hurts your revenue. Denials mean you don’t get paid on time. Sometimes, you don’t get paid at all.
Why do claims get denied? There are many reasons. Sometimes the billing code is wrong. Other times, important info is missing. Prior authorizations might be lacking. Or the patient’s insurance details could be outdated. Each denial is a lost dollar that adds up fast.
That’s where denial management companies step in. They dig into every denied claim. They find errors and fix them. They appeal denials and follow up with payers. Their work helps practices recover money that might have been lost forever.
Why does this matter? In the US, denials cost providers around $262 billion each year. The top denial reasons include eligibility problems, coding errors, and missing information. Good denial management can cut denial rates from 15–30% down to less than 5%. Faster appeals and resubmissions mean you get paid sooner and keep your cash flow steady.
| Company | Denial Recovery Rate | Specialties Served | Tech & Integration | Pricing | What Makes Them Stand Out |
|---|---|---|---|---|---|
| Connexus Cure | 95–98% | 50+ Specialties | Real-time EHR, Availity, Change Healthcare | Custom quote-based | Transparent billing insights, <5% denial rate, low A/R days |
| R1 RCM | 93–96% | Hospitals, Health Systems | AI + automation, Epic, Cerner | Tiered enterprise plans | Large-scale solutions with predictive analytics |
| Kareo / Tebra | ~92% | Small to midsize practices | EHR built-in, telehealth support | Subscription-based | Combines billing + marketing; great for independent practices |
| CureMD | 90–94% | Internal Med, Urgent Care, Primary | Integrated cloud platform | Per claim or flat-fee | All-in-one PM + EHR + denial management |
| AthenaHealth | 92–95% | Multi-specialty, Hospitals | AthenaCollector, cloud analytics | % of collections | Workflow automation with extensive payer rules engine |
| Optum360 | 93–96% | Hospitals, Health Systems | AI-driven claims engine | Enterprise contracts | Scalable revenue tech with payer-level data |
| BilNow | 96–99% | Mental Health, OBGYN, Cardiology | Specialty-first tech stack | Flat or % based | 2-day claims turnaround, low denial rates, high transparency |
| Transcure | 91–94% | Family Med, Pain Mgmt, Urology | eClinicalWorks, Epic compatible | Custom pricing | Specialty billing + strong compliance support |
| CareCloud | ~91% | Orthopedic, Primary, Surgical | CareCloud Central & Concierge | Subscription | Visual RCM dashboards + claim prioritization |
| MediBillMD | 95–97% | Cardio, PT, Mental Health, Multi | EHR-agnostic, appeal-focused | Subscription/flexible | Focus on appeals, 98% net collection, <30-day A/R |
Conclusion
Denials are more than just a billing issue—they’re a revenue leak. And for practices already juggling clinical care, chasing down insurance rejections shouldn’t be your full-time job. That’s where denial management companies come in. The right partner doesn’t just clean up rejected claims—they prevent them from happening in the first place.
From high-touch specialists like MediBillMD and Connexus Cure, to tech giants like R1 RCM and Optum360, each company on this list brings something different to the table. Some excel at appeals, others at automation. Some serve small practices, others thrive in hospital systems. But all of them aim to do one thing: get you paid what you’re owed, faster and more reliably.
Choosing the best denial management service isn’t about the biggest name—it’s about who fits your workflow, understands your specialty, and actually reduces your denial rate below the industry average. Use this guide to compare your options, ask better questions, and make a smarter billing decision.
