Draft a denial appeal in 60 seconds.
Enter the CARC denial code and the claim details. We’ll output a CARC-specific appeal letter with the right framing and the documentation checklist payers expect.
The denial reason code CO-97 was applied to the procedure billed on the date of service above, indicating that this service was bundled into another procedure. The most efficient remedy is a corrected claim with the appropriate modifier appended (modifier 25 for E/M with same-day procedure; modifier 59 or the more specific X-modifiers XE/XS/XP/XU for distinct procedural services). We have attached the supporting clinical documentation establishing the distinct, separately identifiable service and request that this claim be adjudicated as a separately billable service.
- Corrected claim with the appropriate modifier appended (25, 59, XE, XS, XP, or XU)
- Office note or operative report supporting the distinct, separately identifiable service
- Documentation establishing the basis for the modifier: distinct anatomical site, separate encounter, distinct practitioner, or unusual non-overlapping service
One appeal letter takes a minute. A hundred drains your week.
Practices typically have hundreds of appealable denials sitting in aging buckets that never get worked because the team is too busy submitting fresh claims. Our AR team works every denial in your last 90 days, files the appeals within 48 hours, and reports back. No obligation.
30-min call · no CRM dump · keep your current biller · AAPC-certified review
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Free 90-Day AR Recovery Audit
We audit your last 90 days of denials, file the appeals, and recover the revenue. AAPC-certified coders. 2.49 percent of collections. No setup fees.