How it works
A clear path from receipt to resolution.
Denial work can involve many steps. The important thing is to keep the denial active and visible until the work is explicitly resolved.
The workflow
Each step moves the work forward.
Information requests, appeals, and follow-ups are actions—not automatic closure. The denial remains in the active workflow while next steps are pending.
- 01
Denial received
The denial enters the active work queue and remains visible.
- 02
Request information
Identify the missing details and request what is needed.
- 03
Follow up
Keep the work active while waiting for the requested information.
- 04
Information received
Review the new information and determine the next action.
- 05
Appeal submitted
When appropriate, submit an appeal and track the pending payer decision.
- 06
Follow up with payer
Keep the denial active while the payer decision is pending.
- 07
Payer overturns denial
Record the outcome and confirm whether any further action remains.
- 08
Explicitly resolve
Close the denial only when the work is deliberately marked resolved.
Make resolution intentional.
Explore how a structured workflow could support your denial operations.