Handling denials
How the denial queue works and how to appeal common denial reasons quickly.
- Updated
- Updated
- Reading time
- 5 min read
- Tags
- denialappeal
Most denials are fixable in a few minutes if you tackle them weekly. The denial queue groups by reason so you can fix one, fix many.
The denial queue
Not medically necessary
12 claims · $1,840.00
Bundled into another service
7 claims · $612.00
Plan does not cover · self-pay
4 claims · $420.00
Missing modifier 95 (telehealth)
3 claims · $555.00
Tap a group to see every affected claim. Start appeal pre-fills the letter with patient demographics, claim history, and the payer’s denial language.
Billing → Denials. Grouped by reason code with counts and total dollars at risk. Each group is tagged Appeal or Adjust so you can triage in seconds — tap a group to see all affected claims; bulk-fix where possible.
Filing an appeal
Open the denial → Start appeal. We prepopulate patient demographics, claim history, and the denial reason. Add the clinical narrative and supporting docs; submit.