Service 8 of 9
Denials & collections
Works the balances that are actually recoverable, first.
- Providers
How it runs
AI-led: 2 of 4 steps
AI + person-led: 1 of 4 steps
Person-led: 1 of 4 steps
- Ranks open balances by recoverable value and age AI
- Drafts appeals and correspondence from the claim record AI
- Runs negotiations, appeals and payer escalations Person
- Feeds outcomes back into the playbook for the next claim AI + person
Always reserved for a person: A person runs every appeal and negotiation.
Who it is for
- Pharmacies and practices with aging workers' comp and auto balances
- Revenue teams who want effort spent where money can be recovered
- Anyone facing a denial they believe is wrong
How it connects
- Claims reconciliation: Short pays found in reconciliation become work items.
- Document handling: Denial letters arrive read and attached to the claim.
- Prior authorization: Authorization denials route to the clinical appeal path.
What gets measured
The numbers we report to you.
Targets are agreed with each client, per task. We report against them, and automation is held to historical human accuracy.
- Recovery Dollars recovered against dollars worked.
- Appeal outcomes Denials overturned, by payer and reason.
- Time to resolution From a denial or aged balance to a closed outcome.
- Playbook coverage Denial reasons with a documented handling path.
Next service: Network development & management →
Talk to us
Talk to us about denials & collections.
We'll show you how we'd run it: what AI would handle, where your team or ours would decide, and what we'd measure.
Talk to us- Pharmacy help desk · Workers' comp
- 844.328.2048
- Pharmacy help desk · Auto no-fault
- 844.569.8876
- helpdesk@health-lift.com
- Billing address
- PO Box 520190, Salt Lake City, UT 84152