Platform
Denials and underpayments, each with its own workflow.
Liquidity Health matches every remittance to the claim it answers. Denials go to a recovery queue with a suggested next step. Payments below what was owed go to their own review, backed by the remittance or your contract.
Denial Recovery
Four stages, one suggested next step per claim.
Every denied claim lands in New denial with the payer's reason explained. Your team records what it did, and the claim moves through Working / On hold and Resubmitted or Appealed - Payer pending to Resolved.
Choose a stage to see its claims. Select Claim A to read its panel.
Resolved125· sample rows
| Payer / Claim | Why it denied | Filing window | Amount | Next step |
|---|---|---|---|---|
| Total · 2 claims | +$267.76 | |||
| Correct & resubmitno appealN382N211 | On track | +$121.39 | Recovered | |
| Payer F••••0642 | Correct & resubmitno appealN382N211 | On track | +$146.37 | Recovered |
- Payer F••••0642+$146.37Correct & resubmitno appealN382N211On trackRecovered
Illustrative example based on real dashboard records. Names removed.
Selected denial
••••9674
Payer A · 99454, 99457, 99458
Recovered
+$121.39
Recovered via payer reprocessed · 16 days
Denial reason
N382Remittance Advice Remark (RARC)
Missing/incomplete/invalid patient identifier
Something on the claim is missing, invalid, or internally inconsistent, so it could not be adjudicated as submitted.
Usually because: Wrong or missing modifier; invalid code for the DOS; NPI or taxonomy missing; diagnosis inconsistent with the procedure.
N211 explains the denial above
Alert: You may not appeal this decision
N211: this decision may not be appealed. Correct and resubmit instead.
Recommended action
Read the accompanying remark code - it names the exact field. Correct that element and submit a corrected claim rather than an appeal.
In practice: The remark code (N or M) tells you what is wrong. Fix it and resubmit as a corrected claim, not an appeal.
Responsibility: Provider. Appeal: No - correct and resubmit.
Work queue stage
4. Resolved · step 4 of 4
Root causes
Spot repeated denial reasons across claims.
Open denials are grouped by payer and reason code. When several claims share a reason, your team can address the underlying issue instead of working each claim from scratch.
N38210 claims share this reason$2,991.00
Missing/incomplete/invalid patient identifier
Payer A
Correct & resubmit
M767 claims share this reason$2,366.00
Missing/incomplete/invalid diagnosis or condition
Payer D
Correct & resubmit
OA235 claims share this reason$1,647.00
Impact of prior payer(s) adjudication
Payer C
Route to primary
CO2522 claims share this reason$1,620.00
Attachment required to adjudicate (documentation missing)
Payer E
Correct & resubmit
Patient balance
Verify responsibility before billing the patient.
A denied amount is not automatically the patient's. Balances that may belong to the patient are checked for coverage and eligibility first, and only then become statement-ready.
Verify eligibility first3
- ••••4329PR26 · MA01Expenses incurred prior to coverage$140.0012d
- ••••5600PR31Patient cannot be identified as our insured$45.0032d
- ••••6845CO26Expenses incurred prior to coverage$293.0019d
Statement-ready0
The payer assigned this balance to the patient. Send the statement.
Routing follows the remittance group code: PR moves money to the patient; CO is contractual and generally cannot be billed to the patient.
Underpayments
Two ways to prove a short payment.
Some shortfalls are visible on the remittance itself: the payer owed more than it paid. Others need your contract: the payer allowed less than the contracted rate. Both follow their own four stages, from review to payment.
- Below contract rate$3,641.02 · 313
- Short pay$6,571.58 · 91
- Recoverable now$10,212.60 · 404
- Pending evidence$7,336.43 · 29
- Regulatory$179.97 · 9
- Below threshold$11.24 · 14
Illustrative totals based on real dashboard records.
Underpaid claim
Payer C · ••••1627 · 99214, 95004 · DOS 9/9/2026
The arithmetic
- Billed
- $810.00
- Allowed
- $611.00
- −Patient responsibility
- $0.00
- =Expected from payer
- $611.00
- −Paid
- $199.00
- =Shortfall
- $412.00
Allowed $611.00 − patient responsibility $0.00 = $611.00 owed by the payer, but $199.00 was paid.
Recovery stage
- 1. New / Review
- 2. Confirmed / Dispute in preparation
- 3. Disputed / Payer pending
- 4. Resolved / Payment
Confirmed as underpaid. Gathering the remittance and supporting evidence for the dispute.
Payer contracts
Compare matched claims with the applicable fee schedule.
Add a contract for each payer and plan, upload the fee schedule, and map the payer names that appear on your claims. Claims under a payer name that is not mapped to a contract are not checked until it is. Medicare reference rates for 2026 are already loaded.
How this page works
- 1Add a contract for each payer and plan.
- 2Upload the fee schedule used to check payments.
- 3Upload the signed contract for payment terms and filing deadlines (optional).
BPayer BPrimary contract · CommercialLive
- Usable rates
- 14,269
- 14,530 rows
- Claims covered
- 518
- 306 adjudicated
- Fee schedule in force
- 4/1/2026 – 3/31/2027
- Payer B Fee Schedule
- Signed contract
- Read
- lesser of billed / schedule
Payer names on claims that no contract covers
Claims under these payer names are not being checked. Map each name to an existing contract or create one.
- PAYER B COMMERCIAL PPO683 claims · looks like CommercialPayer B: Primary contract
- PAYER F HEALTH PLAN183 claims · looks like Medicare AdvantageChoose contract…
Results
Track what came back, and what still needs work.
Recovered money is counted only when a payer pays after a claim was flagged, and it is kept separate from claims still being worked.
Recovered
$8,510.72
125 claims · by payer remittance date
- Aug: $820.40
- Sep: $6,105.17
- Oct: $1,585.15
Still being worked
Denied money in the queue, by where it sits
- New denial· 130$34,892.15
- Working / On hold· 9$3,574.00
- Resubmitted or Appealed - Payer pending· 31$6,720.01
- Underpayments in dispute1 claim
Illustrative totals based on real dashboard records.
Questions
Questions about the platform.
Pricing
You pay when money comes back. Not before.
No. It reads the 837 claim files and 835 or EOB remittances your systems already produce and works alongside them. Your team keeps submitting claims the way it does today.
A claim paid less than it should have been. Some are provable from the remittance alone, when the payer paid less than it owed on its own allowed amount. Others are found by comparing the allowed amount with your contracted rate for that code.
No. A finding is something to review. It counts as recovered only when the payer actually pays.
Your billing team. Liquidity Health explains each denial and suggests a next step; your team confirms it, acts, and records what happened, and the claim's stage follows.
They go to Patient balance, where coverage and eligibility are verified first. Only balances the remittance assigns to the patient become statement-ready.
Only for contract comparisons. Denial explanations and shortfalls visible on the remittance work without them.
Send us your business contact details and a short note. Our team talks through your practice and explains how claim files are shared securely before any analysis begins.
See these tools on your own claims.
Send your business contact details and a short note. Our team replies, talks through your practice and explains how claim files are shared securely. The analysis follows that conversation. No claim or patient data goes through this website.
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