Denial Management

Identify and resolve causes of denied claims

Optum™ Denial Management improves payment recovery by enabling providers to capture, identify and correct the root causes of denied claims and manage them to resolution. It improves productivity through intelligent, event-driven, automated workflow and offers robust dashboard reporting that pinpoints claim activity, identifies trends and reveals the source and volume of denied claims.

Handle resolutions accurately

Using data from your existing systems, Denial Management tracks all claims-related activity while monitoring individual productivity and denial resolution effectiveness.

Address problem areas

Robust reporting and automation allows you to monitor, trend and resolve denials to maximize financial results. By aggregating denial data from multiple sources, Denial Management includes extensive denial reporting to help you pinpoint problem areas and root causes, allowing you to implement changes that can reduce future denials.

Manage denial resolution more efficiently

Denial Management allows you to map the hundreds of denial reasons into smaller sets of denial types for more efficient management. It features an integrated workflow tool that eliminates manual processes, driving denials to the proper department for resolution.

Key benefits:

  • Identify trends and root causes of denials
  • Increase payment recovery
  • Automate workflow for better efficiency
  • Monitor individual and departmental productivity
  • Reduce controllable write-offs

We’re ready to put our platform to work for you. Let’s start the conversation.
Contact Us

For information about an Optum360 solution for your business please complete the form below. To speak with us sooner call 1-866-223-4730 or email Optum360@optum.com.

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