Review and Edit Denial Appeal Packets

You can review and edit appeal packets for accuracy in Oracle Autonomous Reimbursement.

To review denial appeal packets:
  1. In Oracle Autonomous Reimbursement, select Denials Management.
    A list of denials waiting for review is displayed.
  2. From the Review list, search for and select a denial. You can filter the Review list by claim ID.
  3. In the Summary section, review the root-cause analysis and recommended resolutions.
  4. Review the details of the denial. The remittance level information for the denial is displayed at the top of the application, followed by the details of the denial.
  5. Review the patient information in the left pane. This information is imported from Cerner Patient Accounting.
  6. In the Actions section, review and edit the agent's draft of the appeal letter as needed.
  7. Review the attachments suggested by the agent. Select the attachments to view the details of each document. You can add new attachments or remove attachments from the appeal packet as needed.
After you have completed your review of the appeal packet, you can either accept the denial appeal packet or reject the denial appeal packet. See Accept Denial Appeal Packets and Reject Denial Appeal Packets.