Executive summary. Track authorization denials that are being reconsidered or appealed.
Definition
The Appeals queue is the Attergo Authorizations worklist for active authorization appeal work.
Who this is for
Authorization specialists preparing appeals, and the leads who own the deadlines.
How to begin
Open Authorizations, select Appeals, and sort by deadline, payer, or owner. Open an appeal to read the denial basis and the supporting information.
Complete the workflow
Build the response around the payer’s stated reason, and keep the submission, the communication, and the outcome attached to the case.
Frequently asked questions
Should every denial be appealed?
Weigh the patient’s circumstances, the payer rules, the clinical input, and your organization’s policy.
Referenced standards and further reading
- Attergo product guide ↗Attergo
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