Turn the clearinghouse denials into a worklist, grouped by fix
Denied claims age expensively: most fixes are small, and the timely filing clock runs while the denial sits unread in the clearinghouse. Agent FM builds the worklist before that happens: it sweeps Availity for the month's denials across your payers and lays them out in the billing sheet, claim, payer, denial code with its plain-English reason, dollars, and the likely fix, grouped by reason so the rework can be batched, with timely filing deadlines noted next to anything close. It resubmits nothing, read-only by design. The billers start the week with the missing-auth claims in one block instead of rediscovering them one remit at a time.
Sweep Availity for [window, e.g. last month]'s denied claims across our payers.
Build the worklist in the billing sheet: claim, payer, denial code with its plain-English reason, dollar amount, and the likely fix, grouped by reason so we can batch the rework. Note timely filing deadlines next to anything close.
Read only, resubmit nothing. Tell me the denial count, the total dollars, and the top three reasons.
