Sort denials by cause and fix the process behind the top ones, because a denial you only rework is a denial you will get again.
The fourth step of building the billing engine, once you can see denials in the tracker.
| Cause | How many | Where in the process it comes from |
|---|---|---|
| Cause | Process fix | Claims reworked |
|---|---|---|
The seam: a denial that is a genuine dispute rather than an error, or a demand to pay money back, is not fixed here; it is appealed in the Denial and Clawback Response Guide in the protection guide.
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