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$262B lost annually to claim denials

The Revenue Protection
Platform for Healthcare Billing

DenyZero protects revenue two ways: instantly surface hidden losses in your payer contracts — no integration required — then prevent denials before submission with a full pre-claim validation pipeline.

$262B
Lost to denials annually
83%
Of AI-adopters cut denials 10%+
$47.77
Cost per denial rework
View denial rate benchmarks by specialty →

Upload a contract.
See where you're losing money in 5 minutes.

Most billing teams have never read the fine print in their payer contracts. DenyZero extracts every reimbursement term, rate schedule, and risk clause — then flags exactly where you're being underpaid.

No integration required
No patient data needed
Instant results
Analyze My Contract

Upload a PDF and get a risk score + recommendations in minutes

UHC_Contract_2026.pdf
Analyzed
72
Risk Score
4
Issues Found
$38K
Est. Annual Risk
Key Findings
Rate schedule missing CPT 99215 — defaults to lowest tier HIGH
Unilateral rate change clause — 30-day notice only MED
Prompt pay discount applies to 90% of claims MED
Auto-renewal with 60-day termination window LOW

Three steps. No setup required.

Start with a PDF. Leave with a clear picture of where your contract is costing you money.

1

Upload PDF

Drop your payer contract — any format, any payer. No EHR connection, no data integration.

2

AI Extracts Terms

DenyZero reads rate schedules, clauses, renewal terms, and risk provisions — in minutes, not days.

3

Risk Score + Recommendations

Get a contract risk score, flagged issues by severity, and specific negotiation recommendations.

Try It Now — Free

The full denial prevention pipeline.

Once you've captured instant value from contract analysis, DenyZero's denial prevention system closes the entire loop — from pre-submission validation to payer policy monitoring.

01

Check Claims

Validate every claim against top denial codes and payer rules before it leaves your office.

Open Checker →
02

Learn from Denials

Upload denial responses. DenyZero detects rule gaps and generates new prevention rules automatically.

Report Denials →
03

Monitor Payers

Track coverage policy changes across UHC, Anthem, Aetna, Cigna, and Humana in real time.

View Updates →
04

Stay Compliant

AES-256-GCM encryption, audit logging, auto-logout, and full privacy controls built in.

Security Details →

Everything you need to prevent denials

Each tool works standalone. Together, they form a closed-loop system that gets smarter with every claim.

Claim Checker

Catch errors before payers do

Validate claims against the most common denial reason codes, payer-specific rules, and coding standards. Get actionable fix suggestions in seconds — not days.

  • Checks against CO-4, CO-16, CO-50, CO-97, and more
  • Payer-specific rule validation (UHC, Anthem, Aetna, Cigna, Humana)
  • ICD-10 / CPT code pairing analysis
  • Modifier and authorization requirement flags
Try Claim Checker →
Claim Validation Results
CPT 99213 + ICD-10 J06.9 PASS
CPT 99215 — Missing modifier -25 FLAG
Prior auth required (UHC policy 2026-Q1) WARN
CPT 99214 + ICD-10 E11.9 PASS
Denial Feedback Loop

Turn every denial into a prevention rule

Upload denial responses from payers. DenyZero auto-detects the root cause, identifies rule gaps in your prevention engine, and generates new rules — so the same denial never happens twice.

  • Upload EOB/ERA denial data in any format
  • AI-powered root cause detection from denial codes
  • Automatic rule gap identification
  • One-click rule proposals to close gaps
Report a Denial →
Denial Analysis
CO-16: Missing information DENIED
Root cause: Referring provider NPI missing from claim header
Rule gap detected GAP
New rule proposed: Validate NPI field FIX
Payer Guideline Monitor

Know when payer rules change — before claims bounce

Payers update coverage policies constantly. DenyZero monitors guideline changes across the top 5 national payers and flags what matters for your practice.

  • Tracks UHC, Anthem, Aetna, Cigna, and Humana
  • Monitors prior auth changes, coverage updates, and code edits
  • Highlights changes that impact your claim volume
  • Links updates directly to prevention rules
View Payer Updates →
Recent Payer Updates
UHC: New prior auth for CPT 27447 NEW
Anthem: Updated E/M documentation rules UPDATE
Aetna: Coverage removed for CPT 20610 ALERT
Cigna: Modifier -59 policy update UPDATE
HIPAA-Ready Security

Built for healthcare from day one

Security is not an afterthought. DenyZero ships with encryption, audit logging, automatic session management, and full privacy controls — because healthcare data demands it.

  • AES-256-GCM encryption for all stored data
  • Complete audit logging with tamper detection
  • Auto-logout after 15 minutes of inactivity
  • Published privacy policy and terms of service
Read Privacy Policy →
Security Status
Encryption: AES-256-GCM ACTIVE
Audit logging: All API actions ACTIVE
Session timeout: 15 min auto-logout ACTIVE
Privacy & Terms: Published ACTIVE

Denials are the biggest revenue leak in healthcare

$262B
Lost to claim denials every year across US healthcare
MGMA / Change Healthcare
83%
Of AI-adopters see 10%+ denial rate drop within 6 months
HFMA 2025 Survey
$19.7B
Spent annually just on denial appeals and rework
CAQH Index Report
1 in 10
Claims denied on first submission across all payers
KFF Analysis

From chasing denials to preventing them

✕ The old way

  • Submit claims blind, hope for the best
  • Discover denials 30-60 days later
  • Hire staff to manually research and appeal
  • Same denial patterns repeat month after month
  • Payer rule changes catch you off guard
  • Enterprise platforms that cost $500K+ to implement

→ The DenyZero way

  • Every claim validated before it leaves your office
  • Issues flagged in real time with specific fixes
  • Every denial becomes a new prevention rule
  • Payer policy changes tracked automatically
  • HIPAA-ready security built in from day one
  • Built for practices and billing companies, not just enterprises

The people who actually fight denials

⚕️

Medical Practices

Small to mid-size practices losing 5-10% of revenue to preventable denials. DenyZero catches issues your EHR misses.

📋

Third-Party Billing Companies

Billing companies managing claims across multiple EHRs and payers. One prevention layer, every client, every system.

🏥

Revenue Cycle Teams

RCM leaders tired of reactive denial management. Shift your team from appeals to prevention and recover hours every week.

See what denials are costing your practice

Most billing teams don't know their denial cost until they're already bleeding. Enter your numbers below.

500 claims
10010,000
12%
5%25%
$250
$50$1,000
Current monthly denial cost
$15,000
Estimated savings with DenyZero
$7,500/mo
$90,000 / year
Based on 50% denial reduction — a conservative benchmark for AI-assisted pre-validation
Start preventing denials
⚠️ This platform currently processes synthetic/de-identified data only. Do not upload files containing real Protected Health Information (PHI). See our Privacy Policy for details.

See DenyZero in action

Tell us about your denial challenges. We'll show you exactly how DenyZero addresses them — no commitment required.

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Please select your claim volume.

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Revenue protection starts with a single upload.

Upload a payer contract and see where you're losing money in minutes — no integration, no patient data, no setup. Then build the full prevention pipeline from there.

Analyze a Contract Try Claim Checker