Working denials

Last updated on Sep 29, 2026

Analyse the pattern first

Upload a claims export — drop or browse your claims export on the denials screen — and HealOS reads the CSV, matches your columns, and builds the dashboards: denial rate, dollar impact, the payers and reason codes behind it, and where the money is ageing.

The mapping step is worth a minute of attention. HealOS needs a claim identifier repeated on each service line, date of service, payer, charge amount, what the payer paid, and patient responsibility. It tells you which columns it matched and how many rows it skipped. CSV only, up to 15 MB.

A practice usually finds the same three or four causes behind most of its denials — eligibility not checked, a missing referral or authorisation, a coding mismatch, or a timely-filing miss. Two of those are preventable before the visit, which is why benefit verification and prior auth sit next to this product.

Resubmit a claim

For claims submitted through HealOS, open the claim in Track and use the resubmission editor: correct the fields the payer objected to and send a corrected claim. The claim keeps its history, so you can see what changed between attempts.

You can also put a claim on hold while you chase something, or mark it resolved when it is settled outside the system — both keep your dashboards honest.

When you need us

Send the claim number, the payer, and the denial reason code. If a whole payer is rejecting everything at once, say so in the first line — that is usually an enrollment or transport-profile problem rather than a claim problem, and it is fixed centrally.