Delayed Cash Collection from Prolonged Denial Appeals

$1.2M+ annual. • $1.5M+ from commercial claim delays. • $1.8M+ government payer losses.

Billing and back-office staff export denial lists from the billing system into Excel, maintain color‑coded trackers for appeal deadlines by payer, store payer-specific rules in shared Word/PDF or email threads, and pass complex cases around via email and phone calls because the LIS and billing systems lack integrated denial workflow and timer-based task routing. • Compliance spreadsheets and portal manual checks. • Credentialing and billing teams manually cross-check payer portals and internal spreadsheets to confirm provider enrollment status, then email or call payers one-by-one and track follow-ups in Excel and personal notes to clear denials and resubmit claims.