Urgent Care
Urgent care claim denials, appealed.
Urgent care runs on high claim volume and thin margins, which makes denials especially costly and especially likely to be abandoned. Level-of-service downcoding, place-of-service disputes, and medical-necessity denials add up fast. Canopy makes appealing them economical.
Common urgent care denials we help appeal
- Evaluation-and-management level downcoding, paid at a lower level than billed.
- Place-of-service and facility denials.
- Medical-necessity denials on diagnostics (imaging, labs, rapid tests).
- Procedure denials (laceration repair, splinting) bundled into the visit.
- Denials for non-urgent use of urgent care.
- Timely-filing and registration-error denials.
54% of denied claims are overturned when practices appeal them.
Source: Premier, 2024.
65% of denied claims are never reworked or appealed.
Source: MGMA.
A single appeal can cost $64 to $118 in staff time, which is why small claims get abandoned.
Source: industry / Premier.
You stay in control. We prepare the appeal.
Upload the payer’s denial or underpayment. Canopy analyzes it and prepares a complete, ready to file appeal package. You file it with the payer under your own letterhead, the payer pays you directly, and Canopy charges a flat success fee only on what you actually recover.
See the full how it works →See what your urgent care write-offs are worth.
Use the calculator to estimate the revenue you’re leaving on the table, then apply to get started.