Second-Look Review

You Have the Denial Code.
Do You Have the Full Picture?

The Second-Look Review gives healthcare organizations, including DME suppliers, an independent look at up to 10 related denied claims tied to one question or concern, informed by payer-side experience.

For each claim, we explain what the information shows, what may be missing, and what it supports doing next.

Schedule a Complimentary Discovery Call

Price: $950
Turnaround: Seven business days from receipt of your complete de-identified review packet.

Price: $950
Turnaround: Seven business days from receipt of your complete de-identified review packet.

Need to share the details internally?
View the Second-Look Review One-Page Overview (PDF)

What To Expect

A focused process designed to help your team understand a defined denial concern before deciding what work is worth pursuing next.

1

Complimentary Discovery Call

Tell us what your team is seeing and what you need to understand. We confirm whether the Second-Look Review is the right fit and which claims may belong in the review.

2

Claim Selection & Review Packet

We confirm up to 10 related denied professional, technical, or DME supplier claims involving one payer and one defined concern. Then we provide instructions for submitting the required de-identified claim, denial, and supporting information.

3

Claim-by-Claim Review

We review each claim in context and document what needs attention, what may still be recoverable, what your team can handle, and whether the claims may point to a larger process problem.

4

Report & Findings Call

You will receive a written Second-Look Report and a 45-minute call to walk through the findings. You may send one follow-up email with clarification questions within seven calendar days after the call.

The goal is clarity: which claims support action, which need more information, and which do not support more work right now.

Frequently Asked Questions

  • The review is for healthcare organizations, including DME suppliers, that want an independent look at a defined concern involving denied claims before deciding what to do next.

  • The review covers up to 10 denied professional, technical, or DME supplier claims from one payer that raise the same question.

    The claims may share a service, supply category, denial reason, or billing circumstance; they do not need identical denial codes. We confirm which claims belong together during the discovery call.

  • Yes, the claims must involve the same payer and relate to one question or concern. They do not need to have the same denial code. We confirm which claims fit during the discovery call.

  • The exact information depends on the concern. It may include de-identified claim details, denial codes or messages, remittance information, supporting records, payer correspondence, and applicable policy information.

    We confirm what is needed before the review begins.

  • No. The Second-Look Review is completed using a structured packet that does not contain protected health information. We provide instructions explaining what to include so the claim, denial, timeline, and supporting information can still be reviewed.

    During the discovery call, we confirm whether the concern can be evaluated within these limits. If it cannot, the claim will not be included in the review.

  • The $950 price includes:

    • Review of up to 10 qualifying claims

    • A written Second-Look Report

    • A 45-minute findings call

    • One written response to clarification questions sent in a follow-up email within seven calendar days after the call

  • The turnaround time is seven business days after we receive the complete de-identified review packet.

  • No. DenialMate does not contact the payer, correct claims, or prepare appeals as part of the Second-Look Review. We provide a written report and findings call so your team can decide what to do next.

  • Your team can use the findings to decide what action to take. There is no obligation to purchase another service from DenialMate.

  • Yes. Your billing company can help gather the de-identified claims and supporting information. DenialMate provides the review and findings to your organization; your team and billing partner decide what to do next.

Ready to Take the Next Step?

Bring us the denial question your team needs answered.

We’ll talk through what your team is seeing, what you need to understand, and whether the Second-Look Review is the right fit.

Questions before scheduling?‍ ‍

Call or text (912) 231-7285

Schedule Your Discovery Call

Built from Real Payer-Side Experience

DenialMate was built from seven years on the payer side, including more than five years leading and supervising claims dispute teams across Medicare, Medicaid, and commercial plans.
The Second-Look Review was created to help provider organizations understand what the available information supports before spending more time reworking, resubmitting, or escalating a denial.