For 66 independent practice specialties
Medical Claim Denial Solutions by Practice Specialty
ClaimsRevenue helps independent U.S. practices reduce avoidable denials on CMS-1500 / 837P professional claims. Claims Validator reviews claim construction before submission, and ERA Analyzer turns 835 remittance data into a picture of where denials and payment issues concentrate. Choose your specialty to see how the same product applies to your workflow.
See what your own insurance payment and denial history reveals. Free, with no obligation.
Each specialty page describes the recurring denial patterns your team likely sees, the claim fields Claims Validator checks before submission, and how ERA Analyzer helps you prioritize the payer, provider, and code patterns creating the most rework. Every page keeps the same product scope: professional CMS-1500 / X12 837P claims, not institutional UB-04 / 837I or dental billing.
Primary care
General adult, family, pediatric, and preventive practices billing office-based E/M, testing, and immunization services.
Nurse Practitioner-Led Practices Rendering-provider, taxonomy, and supervision validation for NP-led practices plus 835 ERA analytics. Primary Care Physician Practices Volume-tolerant claim validation and 835 ERA analytics for primary care practices billing E/M, preventive, chronic care, and minor procedures across a wide payer mix. Family Medicine Practices Preventive-versus-problem E/M coding, minor-procedure modifier, and 835 ERA analytics for family medicine practices. Internal Medicine Practices Diagnosis-sequencing and E/M validation, plus 835 ERA analytics for internal medicine practices managing complex chronic care. Pediatric Practices Preventive, vaccine, and dependent-eligibility claim validation with 835 ERA analytics for pediatric practices. Geriatric Medicine Practices Medicare-heavy claim validation, place-of-service checks, and 835 ERA analytics for geriatric practices covering office, home, and facility visits. Preventive & Occupational Medicine Practices Employer-paid, workers-compensation-routing, and screening-versus-diagnostic validation with 835 ERA analytics for preventive and occupational medicine practices.
Behavioral health
Psychiatry, therapy, and addiction medicine groups navigating carve-out payers, telehealth, and time-based coding rules.
Mental Health Therapists Claim validation and 835 ERA analytics for independent therapy practices navigating psychotherapy coding, telehealth rules, and behavioral-health payer carve-outs. Clinical Psychology Practices Pre-submission validation and 835 ERA analytics for psychology practices billing testing, evaluations, and psychotherapy on CMS-1500 / 837P. Psychiatry Practices Pre-submission validation and 835 ERA analytics for psychiatry practices juggling E/M services, psychotherapy add-ons, telehealth, and behavioral-health payer carve-outs. Addiction Medicine Practices Behavioral-health payer, telehealth, and benefit-limit validation with 835 ERA analytics for addiction medicine practices.
Therapy and allied health
Physical, occupational, and speech therapy plus chiropractic and other allied-health disciplines with time-unit and plan-of-care requirements.
Physical Therapy Practices Timed-unit, therapy-modifier, and plan-of-care validation before submission, plus 835 ERA analytics for outpatient PT practices. Occupational Therapy Practices Timed-code validation, therapy-modifier checks, and 835 ERA analytics for outpatient occupational therapy practices. Speech-Language Pathology Practices Consistent therapy coding, unit checks, and 835 ERA analytics for SLP practices billing recurring treatment plans. Audiology Practices Diagnostic-code and unit validation, plus 835 ERA analytics for audiology practices billing testing and professional services. Chiropractic Practices Spinal-manipulation coding, active-treatment coverage, and 835 ERA analytics for chiropractic offices. Allied Health Professionals Consistent claim validation and 835 ERA analytics for lean allied health billing teams and recurring professional claims.
Medical specialties
Office-based specialty practices that combine E/M with diagnostic and procedural services across cardiology, dermatology, GI, endocrinology, oncology, and more.
Private Physician Practices A pre-submission validation and 835 ERA analytics layer for independent physician offices billing on CMS-1500 / 837P. Medical Specialists Pre-submission claim validation and 835 ERA analytics tuned for the higher-dollar, higher-complexity work that runs through specialty practices. Optometry Practices Vision-plan versus medical-plan routing, diagnosis support, and 835 ERA analytics for optometry offices. Cardiology Practices Professional-versus-technical component, modifier, and 835 ERA analytics for cardiology practices billing E/M plus diagnostics and procedures. Interventional Cardiology Practices Procedure bundling, global-period, and authorization validation, plus 835 ERA analytics for interventional cardiology practices. Cardiac Electrophysiology Practices Device-procedure, monitoring, and modifier validation with 835 ERA analytics for cardiac electrophysiology practices. Pulmonology Practices PFT and diagnostic-procedure validation with 835 ERA analytics for pulmonology practices. Allergy, Asthma & Immunology Practices Testing, immunotherapy, and drug-related claim validation with 835 ERA analytics for allergy and asthma practices. Endocrinology Practices Diabetes-focused claim validation, monitoring-service checks, and 835 ERA analytics for endocrinology practices. Gastroenterology Practices Endoscopy bundling, modifier, and global-period validation with 835 ERA analytics for GI practices. Nephrology Practices Professional dialysis, E/M, and setting-transition validation with 835 ERA analytics for nephrology practices. This page covers nephrologist professional claims. It does not position ClaimsRevenue as a dialysis facility or institutional-claim billing platform. Rheumatology Practices Drug, infusion, and biologic claim validation with 835 ERA analytics for rheumatology practices. Hematology Practices Drug, unit, and infusion administration validation with 835 ERA analytics for hematology practices. Medical Oncology Practices High-cost drug, chemo administration, and authorization validation with 835 ERA analytics for oncology practices. Infectious Disease Practices Place-of-service, infusion, and follow-up validation with 835 ERA analytics for infectious disease practices. Neurology Practices Neurodiagnostic bundling, modifier, and authorization validation with 835 ERA analytics for neurology practices. Physical Medicine & Rehabilitation Practices Electrodiagnostic, injection, and coordination validation with 835 ERA analytics for PM&R practices. Pain Medicine Practices Injection, imaging-guidance, and authorization validation with 835 ERA analytics for pain medicine practices. Sports Medicine Practices Injury, injection, and musculoskeletal procedure validation with 835 ERA analytics for sports medicine practices. Podiatry Practices Routine foot-care coverage, debridement, and modifier validation with 835 ERA analytics for podiatry practices. Ophthalmology Practices Eye-code, bilateral, and drug-related claim validation with 835 ERA analytics for ophthalmology practices. Dermatology Practices Lesion, biopsy, and pathology-coordination validation with 835 ERA analytics for dermatology practices. Obstetrics Practices Global maternity package, ultrasound, and coverage-change validation with 835 ERA analytics for obstetrics practices. Gynecology Practices Preventive-versus-diagnostic, office-procedure, and global-period validation with 835 ERA analytics for gynecology practices. OB/GYN Practices Global maternity package, preventive care, and coverage-change validation with 835 ERA analytics for combined OB/GYN practices. Reproductive Endocrinology & Infertility Practices Benefit-exclusion, ultrasound, and claim-frequency validation with 835 ERA analytics for reproductive endocrinology and infertility practices. Maternal-Fetal Medicine Practices Consultation, co-management, and advanced-ultrasound validation with 835 ERA analytics for maternal-fetal medicine practices. Sleep Medicine Practices Sleep-study, professional interpretation, and repeat-study validation with 835 ERA analytics for sleep medicine practices. Wound Care Practices Debridement, unit, and repeat-procedure validation with 835 ERA analytics for wound care practices. Medical Genetics & Genomics Practices Coverage, family-history diagnosis, and authorization validation with 835 ERA analytics for medical genetics and genomics practices. Osteopathic Manipulative Medicine Practices OMT region-count, same-day E/M, and repeat-service validation with 835 ERA analytics for osteopathic manipulative medicine practices.
Surgical specialties
Independent surgical groups managing global periods, assistant roles, procedure bundling, and high-dollar corrected claims.
Neurosurgery Practices High-value surgical claim validation with modifier, assistant, and global-period checks plus 835 ERA analytics for neurosurgery practices. Orthopedic Practices Global-period, fracture-care, and modifier validation with 835 ERA analytics for orthopedic practices. Hand Surgery Practices Upper-extremity procedure, global-period, and modifier validation with 835 ERA analytics for hand surgery practices. ENT / Otolaryngology Practices Endoscopy, diagnostic-service, and global-period validation with 835 ERA analytics for ENT practices. Plastic & Reconstructive Surgery Practices Reconstructive-versus-cosmetic coverage, authorization, and global-period validation with 835 ERA analytics for plastic surgery practices. Urology Practices Cystoscopy, drug-administration, and global-period validation with 835 ERA analytics for urology practices. General Surgery Practices Global-period, assistant-surgeon, and procedure-bundling validation with 835 ERA analytics for general surgery practices. Colorectal Surgery Practices Endoscopy, global-period, and same-day modifier validation with 835 ERA analytics for colorectal surgery practices. Vascular Surgery Practices Duplex-study, endovascular, and modifier validation with 835 ERA analytics for vascular surgery practices. Cardiothoracic / Thoracic Surgery Practices Global-period, co-surgeon, and high-dollar claim validation with 835 ERA analytics for cardiothoracic and thoracic surgery practices.
Professional claims by care setting
Physician professional claims from hospital-based, urgent-care, SNF, hospice, and other care settings that must stay separated from institutional facility billing.
Anesthesiology Practices Time-unit, medical-direction, and provider-role modifier validation with 835 ERA analytics for anesthesiology practices. Radiology Professional Claims Professional-component, modifier 26, and rendering-provider validation with 835 ERA analytics for radiology professional claims. Pathology Professional Claims Professional-component, unit, and duplicate-interpretation validation with 835 ERA analytics for pathology professional claims. Nuclear Medicine Practices Professional-component, tracer-related, and interpretation validation with 835 ERA analytics for nuclear medicine practices. Urgent Care Practices Place-of-service, same-day E/M, and eligibility validation with 835 ERA analytics for urgent care practices. Emergency Medicine Professional Groups Professional-versus-facility separation, E/M selection, and payer-routing validation with 835 ERA analytics for emergency medicine groups. Hospice & Palliative Medicine Professional Claims Professional-service separation, modifier, and coverage-status validation with 835 ERA analytics for hospice and palliative medicine professional claims. Skilled Nursing Facility Physician / Professional Claims Nursing-facility E/M, place-of-service, and recurring-service validation with 835 ERA analytics for SNF physician professional claims.
See where denials are concentrating in your own data
Bring one 835 (ERA) file to a focused 30-minute session and we walk through your denial and payment patterns by payer, provider, and code. No obligation to subscribe after the review.
See what your own insurance payment and denial history reveals. Free, with no obligation.