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Revenue cycle

A worklist, not a spreadsheet.

Every denial and underpayment lands in a queue with the reason, the dollar amount, the deadline, and the person responsible. Nothing ages out because nobody owned it.

See what it costs

Appeal deadlines tracked. The clock starts when the denial posts, not when someone notices.

The worklist

Every denial with a reason, a value, a deadline, and a name.

A spreadsheet tells you a claim was denied. A queue tells you which one is worth working today, how long you have, and who is doing it.

PatientPayerReasonAt riskAppeal byOwner
Alvarez, R.AetnaPrior auth not on file$1,6843 daysM. Ruiz
Duarte, K.BCBSLevel of care not medically necessary$3,7005 daysM. Ruiz
Okafor, M.CignaRendering provider not enrolled$84211 daysT. Adeyemi
Bell, A.OptumDuplicate claim$16824 daysUnassigned
Novak, J.AetnaPaid below contracted rate$41229 daysT. Adeyemi
14 open · $8,940 at risk · oldest 9 daysRecovered this month · $16,220

Root cause

Denials repeat, which means most of them are a workflow problem.

Grouping by reason turns a queue into a diagnosis. When a third of your denials say the same thing, the fix is upstream — in intake, in scheduling, or in credentialing — not in the appeal.

Prior authorization missing or expired34% · $3,020
Medical necessity / level of care26% · $2,310
Provider enrollment or taxonomy17% · $1,510
Coding and modifier errors13% · $1,160
Eligibility and coordination of benefits10% · $940

Why queues beat spreadsheets

Appeal windows close quietly, and nobody gets an email about it.

A denial nobody owned is a write-off with extra steps. Assignment, a deadline, and a dollar value are what turn a shared tab into work that actually gets finished.

$16,220recovered this month

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