Understand the denial.
Start with the payer’s reason, the claim context, and the relevant documentation. Define the criteria your business office uses to prioritize review.
Denial management
Give an unresolved claim a considered next step.
Bring documentation, payer follow-up, and appeal preparation into a workflow your business office can review.
What to measurePreparation time · reviewed appeals · actual recoveries
The work behind the moment
An appeal is only as useful as the work behind it.
A denied claim can leave your team searching for the right information across records and offices. The recovery workflow brings attention to that investigation: what is missing, which next step makes sense, and what needs your approval.
A workflow with a next step
From a question
to a clear handoff.
Prepare the supporting work.
Coordinate documentation requests and payer follow-up, then assemble the material for the proposed appeal.
Put review before action.
The demonstration includes a biller’s approval step. Agree the current review and submission process for your center’s workflow.
Your business office remains part of the decision.
Your team
Your staff reviews the proposed action, supporting documentation, and appeal before the agreed submission step.
Incerto
Incerto helps with the investigation, documentation follow-up, and appeal preparation around that review.
See it in practice
See the preparation and the human handoff.
Also in the platform · revenue recovery
Move the appeal forward. Keep people in the loop.
A chapter showing document follow-up, an appeal draft, and biller review. The demonstration shows the workflow, rather than a recovery outcome.
The demonstration shows documentation follow-up and appeal preparation, with a biller involved in approval. It does not establish a recovery rate or a payment outcome.
Make it fit your center
Start with one
well-defined workflow.
Bring the part of the day you want to improve. We will walk through the conversation, the boundaries, and the next step together.
A useful conversation starts here
- The claim types you want to review
- Documentation and review requirements
- Your appeal approval and submission process
A few practical questions
The details
matter.
Will this replace our biller or billing company?
The starting point is a clearly scoped workflow and division of responsibilities. Your existing team’s review and approval steps are part of that discussion.
What recovery rate can you promise?
The public demonstration is evidence of workflow steps, rather than a recovery study. Scope, expected work, and commercial terms should be discussed against your actual claim mix.
Can we begin with a defined group of claims?
A defined worklist can make scope and responsibility easier to review. Bring the claim types, age range, and approval requirements you want to discuss.
An appeal demonstration is not a recovered-payment result. The appropriate review, system access, and submission method are defined for the center’s workflow.