Money comes back as remittances, and some of it comes back denied. This phase covers getting
remittances in and posted, working denials by the reasons that actually cost you money, and the
reporting your leadership will ask for.Beta. In product and working, but ask your Athelas team to turn it on.
Grouped by reason code, payer, and type on the unified Claims page, with dollars at risk or claim count totalled per bucket and sorted descending, plus deep filters and toggles to hide the noise.
When a remittance balances (billed equals paid plus adjustments plus patient responsibility), it posts with no manual touch. Opt-in per site, and only true exceptions are held.
Automatic write-offs, each tagged as regrettable (true lost revenue) or expected (contractual math).
Appeals
One-click appeal request: we draft the letter from payer-specific templates, assemble the packet, and file on the payer’s required channel. Duplicates are impossible by design.
Appeal status & history
Per-claim appeal status, with the timeline interleaved with full submission history and past appeals.
