Revenue cycle
A worklist, not a spreadsheet.
Every denial and underpayment lands in a queue with the reason, the dollar amount, the deadline, and the person responsible. Nothing ages out because nobody owned it.
Appeal deadlines tracked. The clock starts when the denial posts, not when someone notices.
The worklist
Every denial with a reason, a value, a deadline, and a name.
A spreadsheet tells you a claim was denied. A queue tells you which one is worth working today, how long you have, and who is doing it.
Root cause
Denials repeat, which means most of them are a workflow problem.
Grouping by reason turns a queue into a diagnosis. When a third of your denials say the same thing, the fix is upstream — in intake, in scheduling, or in credentialing — not in the appeal.
Why queues beat spreadsheets
Appeal windows close quietly, and nobody gets an email about it.
A denial nobody owned is a write-off with extra steps. Assignment, a deadline, and a dollar value are what turn a shared tab into work that actually gets finished.
Questions
Common questions.
How does Unisona Health manage denials and appeals?
Every denial and underpayment lands in a work queue with the reason, the dollar amount at risk, the appeal deadline and the person responsible. The appeal clock starts when the denial posts, not when someone notices, so nothing ages out unowned.
How is a denials queue better than a spreadsheet?
A spreadsheet tells you a claim was denied; a queue tells you which one is worth working today, how long you have and who is doing it. Assignment, a deadline and a dollar value are what turn a shared tab into work that actually gets finished — an unowned denial is a write-off with extra steps.
Can I see why claims are being denied?
Yes. Denials are grouped by reason, which turns the queue into a diagnosis: when a third of denials say "prior authorization missing or expired," the fix is upstream in intake, scheduling or credentialing rather than in the appeal.
Works with
It runs on the same record as the rest of the platform.
Revenue cycle
Remittance & bulk posting
Read the ERA, match the lines to the claims, post the payments and adjustments, and route what didn't match to the denials queue.
Read more →Revenue cycle
Claim scrubbing
Validation runs before the claim leaves, highlights the exact field that will get it kicked back, and says why in plain language — not a rejection code you have to look up.
Read more →Revenue cycle
Prior authorization tracking
Dollars authorized, dollars used, visits remaining, and expiration date — live while the appointment is being scheduled.
Read more →Get started
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