Vyne Trellis — Denial Management

Open Denials

↑ 8 this week

Pending Review

Avg age 6.2 days

Denials Resolved

20% resolution rate

Revenue Recovered

$18.4K

This month

Jobs To Be Done — Denial Management Workflow

1. When I get a denial back from the payer, I need to quickly understand what was denied and why, so that I can decide whether to resubmit, appeal, or bill the patient.

2. When I categorize the denial by type and root cause, I need to route it to whoever can actually resolve it (biller, doctor, front desk), so that work doesn't stall and Insurance AR keeps moving.

3. When I decide between correct-and-resubmit vs. formal appeal, I need to see the payer's timely filing clock and appeal rules alongside the denial reason, so that I pick the faster path to payment.

4. When I build an appeal packet, I need to pull narrative, x-rays, perio charts, and clinical notes from the PMS into one submission, so I can assemble a complete appeal without chasing the doctor.

5. When I submit appeals, I need one view of every open appeal with payer, submission date, and follow-up due, so that nothing ages past timely filing.

6. When the same denial reason repeats across claims, I need to see which payers, CDT codes, and providers are driving it, so that I can fix the upstream process instead of reworking denials forever.

	Details	Date of Service	Patient Name	Denial Reason	Carrier	Claim Amount	Status	Status Description