Findings that still need explaining
Every finding explained, in plain English.
A denial reason is written for a payer’s system, not for the person who has to decide what to do about it. The assistant is Incura’s AI feature. It reads the finding in front of you and says what it means, whether it is worth pursuing, what it is worth and what to do next. Everything it says comes from your practice’s own data.
The assistant
Denials last month
Office visit, established patient
$610
Larkmoor Care. Plan terminated 9 days before the visit.
Diagnostic imaging
$1,240
Cardinal Mutual. No approval on file at submission.
Minor procedure
$845
Northbridge Health. Modifier missing on a paired service.
Assistant
ExplainedAsk about this claim
What does this denial mean?
- What it means
- The service needed prior approval and none was on file when the claim went out.
- Recoverable
- Yes, if the approval can be attached and the claim sent again.
- Worth
- $1,240
- Next step
- Get the approval on file, attach it, and send the claim again.
Explained. Cardinal Mutual, Diagnostic imaging, $1,240. No approval on file at submission.
A scripted sample session. The claim, the payer row and every figure are the same illustrative ones used elsewhere on this site. Payer names are fictional.
What it does
Three things, all on top of findings you already have. It explains any denial or underpayment in plain English: what it means, whether it is recoverable, what it is worth and the next step. It drafts an appeal letter from the claim’s own details. And it answers questions about your practice’s numbers by finding the figure, not by estimating one.
What you get
A finding arrives with its explanation, an appeal arrives as a draft, and a question like which payer underpaid you most gets the row from your own data, with the figure unchanged.
Why you can trust it
It reads your own data and never invents a number: every figure it shows is one you can open elsewhere in Incura. What a denial reason means and the usual next step come from documented reference material, not guesswork. A draft is only ever a draft: a person reads it and decides what happens next.
Works with the rest of Incura
Claims that came back and stayed back
Denials
Denials grouped by what caused them, so rework effort goes where it is most likely to be paid rather than to whatever is on top of the pile.
Denials last month, by root cause
Forty nine denials across four causes. Select one to see the claims behind it.
Office visit, established patient
Larkmoor Care. Plan terminated 9 days before the visit.
$610
Diagnostic imaging
Cardinal Mutual. No approval on file at submission.
$1,240
Minor procedure
Northbridge Health. Modifier missing on a paired service.
$845
Follow-up visit
Keystone Benefit. Coverage active under a different plan.
$385
Laboratory panel
Larkmoor Care. Filed 11 days past the window.
$296
Specialist consultation
Vantage Blue. Approval expired before the visit.
$720
Preventive visit
Cardinal Mutual. Service coded as diagnostic, not preventive.
$430
Office visit, new patient
Tessamer Health Plan. Deductible plan not yet effective.
$515
Showing 8 of 8 sample claims. Payer names are fictional.
What is your revenue not telling you?
It starts with one short call. We walk you through Incura and what it would show you about your own practice’s revenue. No cost, no commitment.
We usually reply within one business day.