Chiropractic denial recovery

ClaimCatch AI

Find the denied claims worth fighting.

For chiropractic clinics, we review a small sample of old denials and show which claims are appealable, which need corrected billing, and what proof is missing before anyone spends hours on appeals.

No software migration. No patient records before BAA/NDA. No success fee unless money comes back.

CO-50 maintenance denialsMissing AT modifierCO-97 bundling disputesCPT 98940-98943 support
Sample audit packet
ClaimCatch Audit10-claim review
Estimated recoverable$4,820
Appealable6 / 10
CO-50Maintenance care denialActive treatment evidence presentStrong
ATModifier missingCorrected claim recommended firstStrong
CO-97Bundled manual therapyDistinct region documentation neededReview
Next actionAppeal 4 claims, correct 2, abandon 4

Human-reviewed before anything reaches the payer.

10old denied claims reviewed in the free audit
48htarget turnaround for the first recovery map
15%success fee only on recovered revenue

For busy chiropractic offices

A denial audit that does not disrupt the clinic.

Your biller stays in place

ClaimCatch works around the denial backlog your normal billing workflow does not have time to chase.

Your team starts small

Begin with 10 old denials, EOBs, and notes when available. No software migration or portal rebuild.

You get a clear yes/no map

Each claim is sorted into appeal, correct first, missing records, or not worth pursuing.

The problem

Most denial backlogs never get a second look.

Busy clinics often write off claims because the appeal path is too specific, too slow, or too dependent on documentation details. The opportunity is not every denial. It is finding the denials that still have enough support to fight.

Too specificEvery payer denial needs a precise rebuttal, not a template.
Too slowAppeals fall behind when staff are already handling current claims.
Too uncertainClinics need to know which denials are actually worth fighting.

Medical necessity / maintenance care

Needs active-care proof: PART findings, functional limits, treatment plan, and measurable progress.

Missing or invalid AT modifier

May be a corrected-claim opportunity before a full appeal is needed.

Documentation insufficiency

Often turns on whether the initial exam and daily notes support the billed service.

CPT region-count mismatch

Requires the note to support the spinal regions billed under 98940-98942.

Bundling and modifier disputes

Separate payment depends on distinct regions, timing, or payer-specific modifier rules.

Incomplete EOB or payer record trail

The first step is rebuilding the denial reason, dates, claim number, and appeal clock.

Free Denial Audit

Send 10 old denials. Get a decision-ready recovery report.

The audit is built to make the buying decision obvious. The clinic owner sees what can be appealed, what is missing, what should be corrected first, and what is not worth chasing.

What the clinic knows after 48 hoursWhich claims to appeal, which claims to correct first, which records are missing, and which denials are not worth chasing.
01

Appealability score

Each claim is sorted into strong, possible, weak, or fix billing first.

02

Missing-proof list

We flag the exact exam findings, treatment-plan details, or payer records still needed.

03

Revenue priority

The clinic sees which written-off claims are worth pursuing before spending time on appeals.

04

Sample strategy

We show the strongest argument for one claim so the owner can judge the quality of the work.

Workflow

A clean path from denial pile to appeal plan.

  1. 01
    Protect the data

    BAA/NDA first. No patient records move before the compliance documents are in place.

  2. 02
    Review the denial pile

    The clinic sends 10 old denials with EOBs, SOAP notes, and the initial exam when available.

  3. 03
    Score recoverability

    We compare the denial reason against documentation, modifier use, payer policy, and appeal timing.

  4. 04
    Deliver the reveal

    The owner gets a concise recovery map, missing-documentation list, and recommended next action.

  5. 05
    Work the claims

    If the audit proves value, ClaimCatch prepares human-reviewed appeal packages for recoverable claims.

Appeal standards

Built for the details payers actually deny.

ClaimCatch is positioned as a specialist layer on top of the clinic's existing billing process: policy-aware review, documentation-driven strategy, and professional appeal packages.

01

Denial-specific rebuttals

Letters are built around the exact CARC/RARC or payer reason, not generic appeal language.

02

Chiropractic policy logic

Arguments account for CPT 98940-98943, AT/25/59 modifiers, PART findings, functional deficits, and active-care support.

03

No invented facts

Missing clinical support is called out plainly so weak claims do not get dressed up as strong ones.

Pricing

Free audit first. Paid recovery only after value is clear.

The first offer reduces risk for the clinic: prove recoverability on a small sample before asking for an ongoing commitment.

Free Denial Audit$0

Review of 10 old denied claims after signed compliance documents.

Recovery Service$299/mo

Ongoing denial triage and appeal package preparation.

Success Fee15%

Charged only on successfully recovered revenue.

Compliance posture

No PHI before the right agreements are in place.

ClaimCatch is being built compliance-first. Real patient data should only move through approved secure workflows after BAA/NDA execution. Demo materials and prompt tests use fictional claims only.

Before reviewing claim records, we require:

  • Signed BAA and NDA
  • Secure transfer workflow
  • Minimum necessary records only
  • No public-model training on patient data
Demo-safe by default

Sales examples, prompt testing, and sample appeals use fictional claim details until a clinic has approved the proper workflow.

Start with the written-off pile

Find out what your denied claims are still worth.

Request the Free Denial Audit checklist. We will reply with the exact records needed for a first 10-claim review and the compliance steps required before any patient information is shared.