Win the revenueyou've already earned.
Win the revenue you've already earned.
With Horatio HX, you stop treating denials as a cost of business. We provide HIPAA-compliant, nearshore healthcare-trained denial management specialists who don't just rework claims; they identify patterns, and prevent future denials.
Limited Q3 capacity. We onboard a small number of new clients each month to maintain team quality.
Most healthcare companies don't have a denial problem. They have a denial management problem.
Recurring denials that never get fixed
The same codes, same payers, same issues — resurfacing every month. Without root cause analysis, denial work becomes an endless loop.
Appeals that go nowhere
Generic appeals, incomplete documentation, and missed timelines lead to low overturn rates and wasted effort.
Backlogged denial queues
As volume grows, internal teams prioritize new claims over denied ones, leaving recoverable revenue untouched.
No visibility into denial trends
Without structured tracking, teams can't identify patterns across payers, providers, or procedures, so nothing improves over time.
High-cost teams doing low-leverage work
Highly paid RCM staff spending hours on manual rework instead of systemic fixes.
Denial management built for recovery and prevention, not just rework
- Healthcare-trained denial specialists with payer-specific expertise
- Complete denial lifecycle management — identification, appeal, follow-up, and resolution
- Root cause analysis that feeds back into billing workflows
- Continuous denial trend reporting and optimization
- HIPAA-compliant infrastructure with secure PHI handling
- Nearshore teams in the Dominican Republic, Colombia, and Honduras, aligned with US timezones
- Seamless integration into your EHR and billing systems
- Fully dedicated teams
Real Experts. Real Compliance. Real Results.
Most denial management solutions treat symptoms. We're built to eliminate the root cause.
Software tools
- Flags denials but doesn't resolve them
- No human judgement for appeals
- No ownership of outcomes
- Doesn't address recurring denial patterns at the source
Horatio HX
Dedicated denial specialists that understand payer logic and denial codes, actively manage appeals and follow-ups, and identify systemic issues across your revenue cycle.
- Denial expertise — not general billing support
- Nearshore execution with real-time collaboration
- HIPAA-compliant infrastructure built into operations
- Dedicated teams — a true extension of your team
- AI-supported, human-led execution
- Operational in 3–5 weeks, integrated into your EHR
Offshore BPO
- Low-cost labor with limited payer expertise
- High turnover and inconsistent quality
- Weak alignment with US healthcare workflows
- HIPAA compliance is claimed more often than operationalized
30–45%
Increase in denial overturn rates
Driven by structured appeals and payer-specific workflows
20–30%
Reduction in recurring denial categories
Through root cause identification and process fixes
3–5 wks
To a fully operational denial management team
Integrated into your EHR and revenue workflows
Strong fit if you are…
- Dealing with high denial volumes or low overturn rates
- Lack internal bandwidth to manage denial follow-up effectively
- Want to move from reactive appeals to proactive prevention
- Operate in telehealth, diagnostics, behavioral health, GLP-1, or similar
- Need a dedicated, HIPAA-compliant team integrated into your workflows
Probably not a fit if you…
- Are only looking for low-cost claim rework
- Have minimal denial volume or complexity
- Need part-time or short-term denial support
- Want offshore delivery (we don't operate in the US or India)
- Expect immediate deployment without onboarding or system integration
Denials shouldn't be a cost center. They should be recoverable revenue.
Get a free denial management assessment. We'll analyze your denial patterns, quantify recoverable revenue, and show you exactly how a Horatio HX team would improve your outcomes.
- Free denial workflow review — no commitment
- Reply within 1 business day
- BAA & HIPAA-compliant by default
Book your free denial management analysis
Share your denial volume and recovery challenges. We'll map where revenue is stuck and what dedicated Horatio HX support would look like.