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Answer a few questions about denials, underpayments, and pre-submission visibility. You will receive a preliminary profile before speaking with anyone.
Step 1. Practice profile
Pain management practices face high denial rates on interventional procedures. Pre-submission scoring surfaces authorization failures on CPT 64483, 64490, and 64635 before they reach the payer.
Used only to understand practice scale. The assessment does not estimate dollars.
Used to recommend the most relevant benchmark report for your specialty and state.
Step 2. Claim risk concerns
We do not have a clean enough view to know.
We do not have a clean enough view to know.
Claims go out without a systematic pre-submission scoring process.
Some reporting exists but the full denial pattern picture is fragmented.
What this assessment is doing
This assessment does not calculate confirmed denials or underpayments. It creates a preliminary profile from your inputs to help identify whether the Claim Risk Predictor, the Pattern Report, or both are likely to be useful for your practice.
Preliminary profile
Based on your inputs, start with the Claim Risk Predictor.
Recommended first deliverable
Claim Risk Predictor
This profile is based on your inputs, not from actual claims data. Prexisio confirms specific patterns only after reviewing the practice's adjudicated claims history.
Denial concern
High
Underpayment exposure
High
Pre-submission risk
High
Pattern visibility
Moderate
Denial concern
High
Underpayment exposure
High
Pre-submission risk
High
Pattern visibility gap
Moderate
What this suggests
The billing team is submitting claims without a systematic risk view. The Claim Risk Predictor scores every pre-submission claim and surfaces HIGH risk claims with named interventions before they reach the payer.