Your Denials Have a Pattern.
We Built the Tool to Find It.

ROI is a revenue cycle intelligence platform for medical practices. Decode any CARC/RARC denial code, run a 100-checkpoint audit on your billing process, and walk away with a 90-day fix plan — in minutes, not months.

Not sure where to start? The free Practice Revenue Health Assessment gives you a score from 0–100, personalized fix recommendations, and direct links to the tools that match your gaps. Takes under 2 minutes.

41%
of practices now exceed a 10% denial rate — up from 30% in 2022. The problem is getting worse, not better.
60%
of denied claims are never resubmitted. The revenue is already earned. Most practices never recover it.
12+ Years RCM Leadership
$150M+ Reimbursement Managed
Real Outcomes

What Missed Revenue Actually Looks Like

Revenue cycle failures don't announce themselves. They hide in queues, in misclassifications, and in claims no one got around to working. These are two patterns I've seen firsthand.

Pattern 01 — Taxonomy Denials

Taxonomy-related denials. $40,000 sitting in a queue. Nobody had looked at why.

A behavioral health practice accumulated $40,000 in denials over six months on administered medication services. The payer returned claims citing invalid taxonomy. "Invalid taxonomy" is not a single problem. It can mean the provider's taxonomy code is incorrect or outdated, the provider type is not recognized for that service by that payer, the provider is not yet credentialed with that payer for those services, or the billing reflects services outside the provider's authorized scope.

Each root cause has a different resolution path. Some are appealable. Some require a credentialing action. Some require a billing correction. The practice had logged them and moved on. The first step was identifying which problem was actually present before deciding what to do next.

Pattern 02 — Medicare Information Request

Tens of thousands in claims sitting in denials. They weren't denials at all.

A multi-location practice had a large volume of claims holding in the denials queue for months. Nobody had worked them. When reviewed, they weren't denials in the traditional sense. Medicare was requesting information about the correct Provider Transaction Access Number (PTAN). The claims had been filed, received, and flagged. The practice had multiple PTANs associated with one location, and Medicare needed confirmation of which one applied.

This is the kind of situation that looks like a denial and gets treated like one. It isn't. The response required was a letter with the correct number. Claims responded to within the required timeframe were paid. The ones that weren't worked expired. Recovery on the ones that were addressed: tens of thousands of dollars.

Scenarios represent real patterns. No client names, identifying information, or PHI are included. Outcomes are specific to the circumstances of each engagement.

These situations aren't outliers. They're the kind of patterns that show up consistently when someone who knows what to look for reviews a denial queue.

Get Your Free Health Assessment
Denial Code Reference

EDI Code Intelligence Lab

Finally: a denial code database built for people who actually work denials. The EDI Code Intelligence Lab covers every CARC and RARC in use today. Search by code number, keyword, or payer. Each result shows you: what the denial means, why it's happening, what to do about it right now, how to appeal it, and how to prevent it from coming back.

Not a glossary. A playbook.

Search a Denial Code → Launch Platform
Platform Tools

A Full Revenue Cycle Intelligence System

Start with the free Practice Revenue Health Assessment to identify where your losses are concentrated. From there, the platform gives you everything needed to audit your revenue cycle, build a 90-day action plan, work denials, file appeals, understand your data, and stay current on the practices and policies that affect your reimbursement.

Start

Practice Revenue Health Assessment

Seven quick questions about your practice size, denial rates, A/R, and current processes. Get a score from 0–100 with a letter grade, personalized fix recommendations, and links to the tools you need most.

Get Your Free Health Assessment →
2

Revenue Integrity Master Audit

100 checkpoints. Find what you're missing. Seven phases of the revenue cycle, from patient registration through final payment. Each checkpoint shows what to look for, what it costs you if missed, and the risk level.

Patient Access → Eligibility → Coding → Enrollment → Claims → Payment → Denials →
3

Custom 90-Day Action Plan

A fix plan built around your actual problems. Select what's broken and the platform builds a 3-phase roadmap you can start today — with self-help steps and expert options to accelerate.

Personalized to your specific issues →
4

Appeal Letter Templates

Five core templates for the denials you see every week — timely filing, medical necessity, prior authorization, Coordination of Benefits, and bundling/modifier issues. Ready to customize and submit.

Download, customize, and submit →
5

ROI & Pricing Calculator

See what this costs — and what it recovers. Enter your volume and denial rate. Get projected savings in 60 seconds and a suggested service level for your practice size.

See Your Projected Recovery →
6

Technical Capability Library

Technical frameworks for practices ready to scale. Documentation for six automation frameworks your billing team can actually use: ETL Data Mapper, Eligibility Bridge, 837 Claims Scrubber, Recovery RCM Engine, Enrollment Velocity Tracker, and Intelligent Remittance Engine.

View the technical documentation →
How It Works

Three Steps to Revenue Integrity

1

Diagnose

Run the Master Audit to baseline your revenue cycle. Use the EDI Lab to decode your top denial codes and uncover root causes.

2

Fix

Build a Custom 90-Day Action Plan for your specific issues. Use the appeal templates and self-help steps to start recovering revenue immediately.

3

Sustain

Re-run the audit quarterly. Monitor your KPIs. Use the automation frameworks to eliminate manual rework and prevent regression.

The ROI Difference

Revenue Cycle Intelligence.

Systems such as eClinicalWorks, Waystar, athenahealth, Tebra, and AdvancedMD are built for billing, processing, and tracking claims. ROI tells you why those systems are failing and what to do about it.

Those platforms

Billing and EHR systems. Built to process claims — not to analyze why they're failing.
No denial intelligence layer. They log denials. They do not diagnose the patterns behind them.
Enterprise contracts and IT dependencies. Implementation projects, migration costs, and long onboarding timelines.
No audit framework. You can run reports. You cannot run a structured 100-checkpoint revenue cycle audit.

ROI

Denial intelligence and audit platform. Works on top of whatever billing system you already use. No replacement, no migration.
Structured denial pattern analysis. Every CARC and RARC decoded. Root cause identification built into the workflow.
No implementation cost. No annual contract. No IT dependency. You can be working denials on day one.
100-checkpoint Revenue Integrity Audit. Seven phases. Find what's missing, understand what it costs, and build a 90-day action plan from what you find.
12+
Years in RCM Leadership
Operating inside real practices, not advising from the outside.
$150M+
Reimbursement Managed
Across a range of payers, specialties, and billing environments.
4
Active Certifications
CSPO, CPC, CPB, CPPM. The methodology behind this platform is credentialed and current.
Learn More About the Methodology →
Built For

Who This Platform Is For

If you're responsible for a medical practice's revenue — whether you're the owner, the billing manager, or the person who ended up owning both jobs — ROI was built for you.

Also used by multi-provider RCM teams and billing companies managing accounts across multiple practices.

🏥

Practice-Level Billing Owners

Solo to group practices (1–15 providers) with high denial rates, aging A/R, or no time to research codes. Enterprise-grade denial intelligence without the enterprise contract.

📈

Multi-Provider RCM Teams

Growing organizations where processes break under volume. The audit identifies where, and the automation frameworks fix the underlying workflow gaps that create recurring losses.

🏢

Billing Companies

RCM companies managing accounts across multiple practices. A consistent diagnostic framework, shared denial intelligence, and technical documentation deployable across your client base.

Free Assessment

How Healthy Is Your Revenue Cycle?

Answer 7 quick questions about your practice size, denial rates, A/R, and processes. In 2 minutes you'll get:

Get Your Free Health Assessment

Takes under 2 minutes. No credit card required.

Access Plans

Choose Your Level

Founding Member pricing closes April 10, 2026. Sign up before then and lock your rate for 24 months, subject only to modest, capped increases (max 10% every 2 years, never exceeding 50% of standard rate). You will receive 60 days notice of any change.

Founding Member Pricing — Limited Spots
Sign up by April 10, 2026 and lock your Founding Member Rate forever, even when prices increase.

⭐ Founding Member Basic

Reg. $99/mo
$19
/month · rate locked 24 months

For individual billing staff or solo practices starting to systematize denial management.

  • EDI Code Intelligence Lab
  • Practice Revenue Health Assessment
  • 5 Appeal Templates
  • Email support
Get Founding Member Access

💎 Founding Member Premium

Reg. $349/mo
$99
/month · rate locked 24 months

For practices or RCM teams that want direct access to expert guidance alongside the platform tools.

  • Everything in Founding Pro
  • Up to 1 hr/mo private consulting ($295 value)
  • Monthly Q&A calls + Slack access
  • Custom template requests
Lock Founding Member Rate →

Basic

$99
/month

For individual billing staff or solo practices starting to systematize denial management.

  • Comprehensive EDI Denial & Adjustment Database
  • Monthly code updates
  • 5 Appeal templates
  • Email support
Get Started

Premium

$349
/month

For practices or RCM teams that want direct access to expert guidance alongside the platform tools.

  • Everything in Pro
  • Monthly group Q&A call
  • Up to 1 hr/mo private consulting
  • Custom template requests
  • Slack community + priority support
Get Started

A Few Important Questions to Think About Before Signing Up

ROI is EHR-agnostic by design. It works on top of whatever system you already use. There is no migration, no IT project, and no compatibility requirement. You bring the denial data. ROI provides the intelligence framework to work it.
Payers are now using AI to deny claims in seconds. Denial rates have hit a decade high as a direct result. ROI gives your practice the intelligence framework to respond: decoded denial patterns, audit checkpoints, and appeal templates calibrated to current payer behavior. No enterprise contract. No implementation project. You can be working denials today.
ROI is designed to work alongside your billing team, not replace it. Most billing teams are managing claims volume, not conducting structured denial pattern analysis. ROI gives your team a systematic audit layer, denial intelligence tools, and appeal frameworks that weren't part of their original process. The practices that get the most value are the ones where staff are already working hard — and where a smarter system would let that effort recover significantly more.
Founding Member pricing is the rate currently available through April 10, 2026. Founding Members sign up at a significantly reduced rate and lock that rate for 24 months, subject only to modest, capped increases (maximum 10% every two years, never exceeding 50% of the then-current standard rate). After April 10, standard pricing applies to new signups. The window is real and closes on a specific date.
ROI does not process, store, or transmit PHI. No BAA is required to use the platform. For consulting engagements where PHI may be involved, a Business Associate Agreement is available and executed before any information is shared. See our Security page for full details.
See all questions →

The Intelligence to Fix What Others Just Log.

Every CARC/RARC denial code decoded. 100 audit checkpoints mapped. A 90-day action plan built around your specific challenges.

Get Your Free Health Assessment →