SECOND OPINION · BY DATAJOCKEY
Your billing team already has an opinion on your claims. We’ll give you a second one.
A free, independent read of your last 3–6 months of remittance data — where the denials cluster, where paid amounts differ from billed net, and which unresolved lines warrant review. Built on your file, not an industry guess. Fifteen minutes to book, five working days to see it.
15 minutes. No pitch — we’ll tell you exactly what to send.
Sound familiar?
01
Your billing team may already appeal denials one claim at a time — this review tallies why the same categories keep returning.
02
Payers may pay less than billed on lines that were never technically denied. The review isolates that variance.
03
Unresolved claim lines need the applicable contractual and submission-window context before any recovery conclusion is made.
04
Three branches, or nine — and none of them the whole picture.
You can’t fix what you can’t see — and so far you’ve only felt it, one denial at a time.
We won’t quote you an industry loss percentage. Published figures range from under 4% to over 18%, which tells you they’re mostly guesses dressed up as statistics. So we don’t guess — we open your file instead.
It’s free for the same reason a mechanic doesn’t charge you to tell you what’s wrong with the car before you agree to the repair: until we’ve looked, we don’t actually know what there’d be to charge for.
Four claim patterns worth reviewing together
01
Not a wall of codes, the actual pattern behind them.
02
03
Which unresolved lines warrant review, with contractual and submission-window context validated before any conclusion.
04
Which lines exceed a disclosed 45-day lag-screen threshold. Not a breach finding — a review queue to validate against the applicable terms.
THE ASK
One file your billing team can already pull — the same remittance export they already get back through eClaimLink or Shafafiya, last 3–6 months, one row per claim line. No system access. No integration. No patient names, IDs, or clinical notes — we don’t need them and we don’t want them. CSV, Excel, or the raw XML — we’ll handle the formatting.
What we won’t tell you: an industry benchmark, a competitor’s numbers, or a loss percentage we can’t stand behind. We hold none of that data, and we’re not going to invent it. What we will tell you: exactly what your own file says. NDA available before you send anything.
THE PERSON WHO WILL DO THE WORK
In banking, an unreconciled dirham gets chased until someone can explain it. Healthcare claims benefit from the same reconciliation habit.
Second Opinion is run by DataJockey — David Ó Cinnéide. Before this: seven years in banking, where reconciliation isn’t a nice-to-have — every payment expected gets matched against what actually lands, and anything that doesn’t match gets chased until someone can explain it. Healthcare billing presents the same billed-versus-paid reconciliation problem, with clinical, contractual, and payer context validated before conclusions. That’s what this teardown is: reconciliation discipline applied to healthcare claims, using the file to identify where deeper review is warranted.