ANALYZING DENIALS

Collecting and interpreting denial patterns to quantify denial causes and their financial impact is the foundation of aggressive Denial Management.  Built-in management reports identify the causes of denials and highlight their financial impact.  Example of reporting ability:

• Generate health plan-specific reports to allow you to better determine your appeal success rate by carrier.

• Generate reports on overturned denials which may assist you during contract negotiations.

• Generate reports showing denial statistics by appeal status.