Select a Demo
Each checklist targets the top denial drivers for a specific payer-procedure pair.
AetnaCPT 27447
Total Knee Arthroplasty
Policy: CPB 0660
Sample Patient: Mary Smith
Top Denial Driver
Conservative Care Duration & Type (40-50%)
7Denial Drivers
10Scenarios
UnitedHealthcareCPT 52597
Aquablation (Robotic Waterjet Resection)
Policy: Multi-vendor Delegation
Sample Patient: Mark Johnson
Top Denial Driver
Concordance Failure (25-30%)
7Denial Drivers
10Scenarios
CignaCPT 11730
Nail Avulsion (Partial/Complete)
Policy: ASH CPG 209
Sample Patient: David Williams
Top Denial Driver
Functional Impairment Documentation (30-35%)
7Denial Drivers
10Scenarios