Now building with Bay Area clinics.

Reddo

AI that guides people to recover denied claims

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CLAIM FILE
  • DENIED
  • RESUBMITTED
DENIAL CODE
CO 16
REASON
Missing information
FIX
Referring provider added
STATUS
Resubmitted

THE PROBLEM

Denied claims sit unworked.

Insurers deny claims over wrong codes, missing modifiers, missing documentation, and late filing. In a small practice, one office manager handles billing alongside scheduling and the front desk. Fixing a denial takes time they don't have, so the claim waits.

HOW IT WORKS

How a denied claim gets paid.

  1. 01Send

    Sign a Business Associate Agreement, then send us your denied claims.

  2. 02Fix

    Our AI finds the reason for each denial and guides a Reddo worker through the fix or appeal. The worker checks it and resubmits.

  3. 03Get paid

    The insurer pays your practice. We keep a percentage of what we recover.

WHAT WE FIX

The denials you don't have time for.

  • CO 4

    Wrong or missing modifier

    We correct the modifier so it matches the service.

  • CO 11

    Diagnosis doesn't match

    We match the diagnosis code to the procedure using your notes.

  • CO 16

    Missing information

    We find what the claim is missing and resubmit it complete.

  • CO 18

    Flagged as duplicate

    We confirm it isn't a duplicate and resubmit it as a corrected claim.

  • CO 22

    Another payer may be primary

    We update the coverage order and bill the right payer first.

  • CO 31

    Patient not identified

    We correct the member ID, name, or date of birth and resubmit.

  • CO 50

    Not medically necessary

    We draft an appeal with the supporting documentation.

  • CO 97

    Bundled services

    We check whether the service should be billed separately and appeal if so.

  • CO 109

    Wrong payer

    We send the claim to the payer that covers it.

  • CO 146

    Invalid diagnosis for the date

    We replace the code with one valid on the date of service.

  • CO 151

    Frequency not supported

    We appeal with documentation showing why each visit was needed.

  • CO 167

    Diagnosis not covered

    We fix coding errors, or appeal when the diagnosis is correct.

  • CO 236

    Codes not allowed together

    We correct the modifier when both services were valid that day.

SECURITY

Your patient data stays protected.

FOUNDER

Peace Enesi

Founder

GET STARTED

Get your denied claims paid.

Choose one

Want to work with Reddo? Join the waitlist.