Step by step
1
Categorize by reason code
Tag every denial with its CARC/RARC so you can see which few reasons drive most of the volume.
2
Route to an action
Each category maps to a decision: correct-and-resubmit, appeal, or write off under a defensible rule — no claim sits undecided.
3
Work to the deadline
Prioritize by appeal window and dollar value so nothing winnable ages out while low-value items wait.
4
Close the loop upstream
Send recurring causes back to eligibility, auth, or coding so the same denial stops being generated.
5
Measure it
Track denial rate, appeal rate, win rate, and recovery so the workflow's actually shrinking the pile.
Common questions
What's the first step in denial management?
Categorization. You can't fix or prioritize what you haven't measured — tag every denial by reason code first, because a handful of CARCs usually drive most of the volume and tell you where to focus.
How do I handle denials with limited staff?
Triage by deadline and dollar value, automate the categorization, and decide up front which low-value denials get written off under a rule so staff time goes to winnable, higher-value claims.
Where Volari fits: Volari can be the back half of that workflow — the appeal-and-recover step for the denials your team categorizes but can't get to — worked at machine cost, paid only on recovery.
See the revenue you're owed but never collected.
A free assessment shows your real recoverable number from denied and underpaid claims. No risk, paid only on what we recover.
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