Complex Denial Recovery for Infusion Providers
We help infusion providers recover payment on complex insurance denials.
Find Out What’s Keeping Your Infusion Claim From Paying
A denial notice may tell you why the payer refused payment, but it can take a closer look to determine what will resolve it. The answer may be in the original authorization, the treatment records, or the payer’s response to an earlier appeal. Pulling those pieces together takes time while your billing team is managing new claims and daily follow up.
Mixon Revenue Solutions works alongside your billing team to investigate complex infusion denials and determine whether a correction, reconsideration, or appeal is available. When there’s a path forward, we help gather the supporting records, prepare the appeal when needed, and follow up with the payer.
Infusion Insurance Denials We Help Resolve
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Medical Necessity Denials
We review the payer’s reason for denying the therapy and identify what clinical information could support an appeal. That may include the treating provider’s notes, prior treatment history, or a letter of medical necessity explaining why the therapy was prescribed.
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Prior Authorization & Coverage Denials
We compare the authorization, claim, and payer’s denial to see where the details diverge. If the issue involves the medication, authorized dates, or site of care, we evaluate whether the available records support a correction or appeal.
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Documentation Related Denials
We identify what the payer says is missing and help your team gather the records that address the request. Depending on the claim, that may include the treatment order, clinical notes, or infusion administration records.
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Complex & Repeatedly Denied Claims
When a claim is still unpaid after a correction or appeal, we review what your team already submitted, how the payer responded, and which deadlines still apply. That helps us determine whether another review is available and what additional information could support it.
What Happens After You Reach Out?
Start with a 15-minute call. Tell us where claims are getting stuck. We’ll talk through what your team has already tried and whether Mixon is a good fit.
Share claim records securely. Once the appropriate agreements are in place, we’ll explain which records we need and how to share them.
Find out what can still be done. We’ll review the claim history and explain whether a correction, reconsideration, or appeal is available. If there’s a path forward, we’ll work alongside your billing team to pursue payment.
EXPERIENCE SPECIALIZED DENIAL RECOVERY
Your First Qualifying Claim Is on Us
Let us work one qualifying denied infusion claim at no charge. To qualify, submit the claim to Mixon within 90 days of the date of service. If we recover payment, your practice keeps the full amount. There’s no obligation to continue.
1 Free
Qualifying claim worked at no charge
5%-15% Contingency Fee
On recovered payments, based on claim age and value
CONTINGENCY FEES START AT 5%
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NO RECOVERY. NO FEE.
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WE RECOVER. YOU PROFIT
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CONTINGENCY FEES START AT 5% ✦ NO RECOVERY. NO FEE. ✦ WE RECOVER. YOU PROFIT ✦
We Don’t Make Money Unless You Do
Mixon Revenue Solutions works alongside your billing team to investigate unpaid infusion claims, handle complex appeals, and pursue reimbursement that might otherwise be written off.
Our contingency fee is based on the claim’s age and value and applies only to the amount we recover. The rate is 5% for claims up to three months old, increases gradually for older claims, and reaches 15% maximum for claims one year or older. If we recover nothing, you owe no recovery fee.