Not Every Denial Should Exist.
Before You Write It Off,
Take a Second Look.

Request a Second-Look Review

DenialMate reviews denied claims to help healthcare organizations understand what happened, whether another action may be worth pursuing, and what the denial may be revealing beyond the individual claim.

Practical answers. Clear next steps.

  • 41%

    of providers report denial rates above 10%.

    Organizations often focus on working denials instead of understanding what's driving them.

    Source: Experian Health

  • 54%

    of providers report claim errors are increasing.

    Many denial issues begin long before a claim is ever submitted.

    Source: Experian Health

  • 68%

    of providers say submitting clean claims is harder than it was a year ago.

    The challenge isn't always working more denials. It's understanding why they continue to occur.

    Source: Experian Health

  • $25–$30

    Average cost to rework a denied claim.

    Every preventable denial creates additional administrative burden, cost, and resource strain.

    Source: MGMA

Most organizations focus on recovering denials.
DenialMate starts by understanding them.

DenialMate uses a simple framework to understand what is happening, why it's happening, and what to do next.

  • Gain visibility into denial patterns, trends, and opportunities worth exploring further.

  • Uncover the factors contributing to denial outcomes and recurring challenges.

  • Evaluate opportunities based on impact, likelihood, and organizational priorities.

  • Strengthen processes and reduce future denial risk.

Every denial has a reason.
Let's find yours.

Understand the Problem

What is happening, why does it keep happening, and what can I do to fix it?

Evaluate the Opportunity

Evaluate selected denials, appeal opportunities, and potential next steps.

Uncover deeper patterns, root causes, and opportunities for operational improvement.

Prevent the Repeat

No pressure. Just a clearer understanding of the patterns, processes, and factors influencing your denial outcomes so you can determine what questions are worth asking next.
Request a Second-Look Review

DenialMate exists because not every denial should exist.

Many organizations already have teams working denials, submitting appeals, and following up on unpaid claims. But working the denial does not always explain why it happened, why it keeps happening, or whether it could have been prevented.

That is where DenialMate is different.

DenialMate does not replace your billing team. It adds an intelligence layer that helps organizations better understand the patterns, processes, payer behaviors, and operational factors influencing denial outcomes.

The goal is not simply to work more denials.

The goal is to understand what is driving them in the first place, identify what may be preventable, and help organizations make better decisions about where to focus next.

Why DenialMate Exists

Meet the Founder

I'm Marlicia Miller, founder of DenialMate.

Before launching DenialMate, I built my career across both the provider and payer sides of healthcare. My experience includes Durable Medical Equipment (DME), prior authorizations, claims research, claim status investigations, and claims disputes.

Before healthcare, I served in the United States Navy, where I received training in Operational Intelligence. That experience shaped the way I approach problems today by looking beyond individual events to identify patterns, root causes, and connections that others may overlook.

Throughout my healthcare career, one question continued to follow me:

Why did a claim process the way it did? Why was it denied? Why did the same issues continue to surface across different organizations?

That curiosity eventually became a specialization.

Working in claims research and disputes provided a unique opportunity to see both sides of the conversation. I spoke with providers seeking answers while also working alongside the teams responsible for processing and reviewing claims. Over time, I realized that many denials were symptoms of larger issues. The denial was often the most visible part of the problem, but rarely the entire story.

As both a healthcare professional and a parent who has navigated the healthcare system on behalf of a child with ongoing medical needs, I understand that these challenges extend beyond claims and reimbursement. Behind every denial, delay, and appeal are real organizations, providers, patients, and families affected by the outcome.

That perspective continues to shape the work I do today through DenialMate.