Denial workspace
Today's denial worklist
What a denial-management specialist sees on log-in. KPIs are last-7-day aggregates; the worklist is hand-built sample data — pick a denial to open it in the engine and generate a correction and appeal.
- Open
- 5
- Submitted
- 2
- Resolved today
- 3
- Overturn rate (30d)
- 71%
- Avg TAT
- 2.4d
Worklist (7)
click a denial to work it- ACME-2025-44128CO-16New$218
Aetna Demonstration Health Plans · Missing information / modifier
DOS 2025-04-122d in queue28d to deadlineworkable in engine - MDM-2025-77931CO-50New$642
Medicare Demonstration Administrative Contractor · Medical necessity (LCD)
DOS 2025-03-224d in queue116d to deadlineworkable in engine - UHC-2025-90214CO-197New$1,180
UnitedHealth Demonstration Group · Prior authorization
DOS 2025-05-081d in queue29d to deadlineworkable in engine - ACME-2025-51007CO-97In progress$96
Aetna Demonstration Health Plans · Bundled / inclusive service
DOS 2025-04-306d in queue24d to deadline - CIG-2025-33820CO-4In progress$304
Cigna Demonstration Network · Modifier inconsistent with procedure
DOS 2025-04-219d in queue21d to deadline - BCD-2025-12944CO-29Submitted$410
BlueCross Demonstration of the Plains · Timely filing
DOS 2025-03-0514d in queue9d to deadline - UHC-2025-88105CO-11Submitted$175
UnitedHealth Demonstration Group · Diagnosis inconsistent with procedure
DOS 2025-04-0211d in queue17d to deadline