We don't believe in Denial Management. Traditional solutions provide various approaches to reporting, managing and appealing denials. We believe in getting to the root source of a denial and eliminating the cause, preventing future denials.
How do we do this? Going beyond denial reporting, our team identifies trends and patterns in denial data. If a problem is found, an edit is created for all affected efficientC clients. This constant analysis of payer delays ensures claims get paid fast.
efficientC's denial system maps both the denial reason and remark codes to a category (such as eligibility, medical necessity, coding, COB, etc.) so the root causes of denials are easily recognized.