Independent. Objective. Trusted.
We provide impartial medical claim
and audit reviews that meet regulatory
standards and support fair outcomes.
and audit reviews that meet regulatory
standards and support fair outcomes.
✅ Certified Clinicians | ✅ Fast Turnaround | ✅ Compliant with State & Federal Requirements
Our Happy Clients
Health Plan
“Co-dentify has been a game-changer for our claims department. Their impartial and clinically sound reviews helped us resolve disputes faster and more confidently. The level of detail and professionalism in their reports is unmatched.”
Hospital Revenue Cycle
“We’ve worked with multiple review organizations, but Co-dentify stands out for their speed, transparency, and direct communication. Their peer-to-peer support was instrumental in overturning an unfair denial that impacted a high-value case.”
Compliance/Legal
“”Co-dentify delivered exactly what we needed—timely, objective reviews with clear documentation that stood up to regulatory scrutiny. Their team was responsive, detail-oriented, and clearly understood the complexities of healthcare compliance.”
Our Services – What We Do
Medical Necessity Reviews
Unbiased evaluations to determine if billed services align with clinical guidelines and treatment standards.
Coding Accuracy Reviews
Ensure that claim codes accurately reflect the documented services and comply with regulatory requirements.
Appeals & Dispute Resolution
Independent reviews to support fair resolution of denied claims and contested audit outcomes.
Regulatory Compliance Support
IRO services that satisfy federal and state mandates, including audits tied to corrective action plans or OIG settlements.
Peer-to-Peer Consultation
Facilitate direct conversations between clinicians to clarify determinations and support escalation or appeal decisions.
Utilization Review Support
Objective assessments of care usage to determine if services provided are necessary, efficient, and appropriately timed.
Your Partner in Fair and Accurate Claim Decisions
At Co-dentify, we are a team of licensed medical professionals, certified coders, and regulatory experts committed to providing unbiased external reviews for payers, providers, and regulatory agencies. Our goal: ensure accuracy, compliance, and transparency in every review.
Address
600 E Crescent Ave., Suite 305
Upper Saddle River, NJ 07458
info@co-dentify.com
Phone
212 824 4101