Managing Denied Claims

When the denied claim comes into RXNT system, the Leave Open check box is automatically checked off and is pushed into the Denial Tab.

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When the denied claims are entered into the tab, you have the ability to search or filter for the various fields within the denial.

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If you would like to send an appeal letter to the payer, click on the printer button. The system will then prompt you to select one of your pre-made templates. Once you’ve selected the template you wish to use, click on the generate button so you can print, edit content and re-generate, or send the letter. 

appeal

 

Choose a template

 

PDF appeal

 

Once the letter is generated, the letter will be sent off to the payer along with the claim attached which is available to download and/or print.

After you have decided what to do with the denial, clients can change the status of the claim from the customized drop-down menu.

 

Dropdown Denial Status
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