datavant-denial-management

JSON twin: https://www.healthaidb.com/software/datavant-denial-management.json

Company Name

Datavant

Product URL

https://www.datavant.com/solutions/denial-management

Company URL

https://www.datavant.com

Categories

Summary

Datavant Denial Management is a data-driven denials prevention and recovery service that combines analytics, automation, and staffed services to reduce claim denials and recover revenue.

Description

A multifaceted denials management solution that uses claims/EHR data analytics, automated appeals generation, denial segmentation and prediction, plus scalable staffing and clinical education to prevent recurring denials, accelerate appeals, and improve documentation and coding specificity. Integrates with existing RCM and record‑retrieval workflows and leverages Datavant's data connectivity capabilities.

Api Available

yes

Certifications

Company Founding

2017

Company Offices

Compliance

Customers

Data Residency

US-based cloud hosting with customer-selected cloud region options (works with AWS cloud deployments)

Data Standards

Deployment Model

Features

Id

P0449

Integration Partners

Integrations

Languages Supported

Last Updated

2025-09-07

License

commercial proprietary

Links

Market Segment

Optional Modules

Os Platforms

Pricing Details

Contact vendor for pricing and service tiers; enterprise/contract pricing and implementation-based engagement.

Pricing Model

enterprise_quote

Privacy Features

Ratings

Regions Available

Release Year

2017

Security Features

Specialties

Support Channels

System Requirements

Target Users

Training Options

Type

product

User Reviews

Version

1.0

Canonical JSON

{
  "company_name": "Datavant",
  "company_url": "https://www.datavant.com",
  "company_offices": [
    "United States",
    "Ireland",
    "Spain"
  ],
  "company_founding": "2017",
  "product_url": "https://www.datavant.com/solutions/denial-management",
  "categories": [
    "administrative",
    "revenue cycle management",
    "health information management",
    "data exchange"
  ],
  "market_segment": [
    "enterprise",
    "health system",
    "payer"
  ],
  "links": [
    "https://www.datavant.com",
    "https://www.datavant.com/solutions/denial-management",
    "https://www.datavant.com/revenue-cycle-management",
    "https://www.datavant.com/solutions/him-coding",
    "https://www.datavant.com/about",
    "https://www.datavant.com/press-release/datavant-and-ciox-health-announce-merger-creating-the-largest-neutral-and-secure-health-data-ecosystem",
    "https://www.datavant.com/contact",
    "https://www.datavant.com/about/careers",
    "https://www.datavant.com/privacy-policy",
    "https://www.datavant.com/resources"
  ],
  "summary": "Datavant Denial Management is a data-driven denials prevention and recovery service that combines analytics, automation, and staffed services to reduce claim denials and recover revenue.",
  "description": "A multifaceted denials management solution that uses claims/EHR data analytics, automated appeals generation, denial segmentation and prediction, plus scalable staffing and clinical education to prevent recurring denials, accelerate appeals, and improve documentation and coding specificity. Integrates with existing RCM and record‑retrieval workflows and leverages Datavant's data connectivity capabilities.",
  "target_users": [
    "revenue cycle managers",
    "billing/RCM staff",
    "health information management (HIM) teams",
    "coding specialists",
    "hospital / health system administrators",
    "payer/health plan teams"
  ],
  "specialties": [
    "revenue cycle management",
    "health information management",
    "medical coding and documentation",
    "utilization review"
  ],
  "regions_available": [
    "United States",
    "Europe"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "enterprise_quote",
  "pricing_details": "Contact vendor for pricing and service tiers; enterprise/contract pricing and implementation-based engagement.",
  "license": "commercial proprietary",
  "features": [
    "Automated appeals generation",
    "Denial segmentation and prioritization",
    "Predictive models for overturn likelihood",
    "Appeals-ready export/workflow",
    "Denial prevention analytics",
    "Root-cause/systemic denial identification",
    "Clinical documentation improvement recommendations",
    "Code specificity improvement guidance",
    "Recovery of denied claims / charge leakage reduction",
    "Scalable staffing & managed services for appeals",
    "Pre-authorization and pre-certification support",
    "Defense audit support",
    "Revenue integrity monitoring",
    "Integration with existing RCM workflows"
  ],
  "integrations": [],
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "optional_modules": [
    "Managed staffing services",
    "Specialized clinical education/consulting"
  ],
  "data_standards": [
    "FHIR",
    "HL7 v2",
    "ICD-10",
    "CPT",
    "SNOMED CT"
  ],
  "api_available": "yes",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "SOC 2",
    "GDPR"
  ],
  "certifications": [
    "SOC 2"
  ],
  "security_features": [
    "Encryption at rest and in transit",
    "Role-based access control (RBAC)",
    "SSO / SAML support",
    "Audit logging",
    "Multi-factor authentication (2FA)"
  ],
  "privacy_features": [
    "Business Associate Agreement (BAA) available",
    "Tokenization / de-identification",
    "Anonymization / data minimization",
    "Consent-aware data handling"
  ],
  "data_residency": "US-based cloud hosting with customer-selected cloud region options (works with AWS cloud deployments)",
  "customers": [
    "UW Health",
    "70,000+ hospitals and clinics (aggregate claim on site)",
    "75% of the 100 largest health systems (aggregate claim on site)"
  ],
  "user_reviews": [
    "I fucking hate Ciox/Datavant.",
    "They disrupt our workflow — they refuse to go away, they just keep calling and faxing.",
    "I started a few weeks ago and am struggling with the motivation to actually log on and work because the pay hasn't been worth my time.",
    "Be cautious with LinkedIn's Chart Retrieval Specialist hiring — hired after a single phone interview then poor follow-through.",
    "This company is a scam! I have applied to x3 jobs and I get emails saying it's closed, or they are not looking!"
  ],
  "ratings": [
    "Glassdoor: 3.1/5 (employee reviews)",
    "Indeed: mixed employee reviews (ratings vary by role/location)",
    "BBB: 1/5 (average of customer reviews on company profile)"
  ],
  "support_channels": [
    "contact form/portal",
    "email",
    "phone",
    "ticketing",
    "webinars"
  ],
  "training_options": [
    "documentation",
    "webinars",
    "live_online (webinars/online events)",
    "education resources",
    "developer/API docs"
  ],
  "release_year": "2017",
  "integration_partners": [
    "AWS",
    "Snowflake",
    "HealthJump",
    "Datavant Connect partners (300+ real-world data partners)"
  ],
  "id": "P0449",
  "slug": "datavant-denial-management",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-09-07",
  "links_json": {
    "self": "https://www.healthaidb.com/software/datavant-denial-management.json"
  }
}