Free demo

Work a denied claim, start to finish

This is the real simulator, in guided mode. Read the claim, flag the field that caused the denial, name the category, and choose what you would do about it. You will get the same feedback screen a paying learner gets.

Difficulty 1 · SIM-CLM-0001

The Home Office Mix-Up

solo LPC, telehealth-heavy

Training scenario — all details are synthetic. Real-world rules vary by payer and change over time; verify before acting on anything you learn here.

Content last reviewed: September 2026. Billing rules change — verify anything you act on against current official sources and your own payer documents.

The denial

Cascade Mutual Health — Explanation of Benefits

SIM-D03

The billed location does not agree with the telehealth details on this claim.

Evidence on the claimOpen

The claim as submitted

2 fields are suspect · flag up to 3

0 of 3 fields flagged.

Patient

Coverage

Provider

Service & claim fields

Hints

Free in guided mode.

  • Read the three lines that describe where and how this session happened — the service description, the place of service, and the modifier — and check whether they tell the same story.
  • The problem is in the telehealth field pair: place of service and modifier.
What kind of denial is this?

Flag the evidence first — naming the field is what makes the category defensible.

What do you do next?

Name the category first — the next step follows from what kind of denial this is.

Flag at least one field to continue.