Itemized bill · Riverside Emergency PhysiciansWed 11:20
Fax, portal, two calls3 attempts
$1,092.40
Goes and gets it
When CLM-0940 pends for a missing itemized bill, Daybook is designed to ask Riverside Emergency Physicians by fax, portal and phone until the bill arrives. Your examiner decides what happens to the claim.
Eligibility · Accumulators · COB · Plan §7.4 cited
Your examiner
Six checks passed6 / 6
Medical necessity · RN reviewer✓
Signed · Dana Kim, your examinerApproved
Brings it back ready
The file for CLM-0902 arrives assembled, with eligibility, accumulators, COB and the plan clause it turns on. Dana Kim, your examiner, reads the recommendation and signs.
Written backCLM-0902
Note · auth record · 835 preparedYour claims system
Audit row per decision
Employer viewDelta Fabrication
Cleared this week 31 pends · signed by your examiners$67,119.00
Writes it back to your system
Daybook prepares the note, the auth record and the 835 for the claims system you already run, with one audit row per decision. Your examiner signs and your finance team releases.
Delta Fabrication
12 claims · $88,730
Check run released
$58,250.00
TL-2481 · Maya R.
Signed · Dana Kim
3 days
to paid
DK Dana Kim
your examiner
Pended claim CLM-0940$1,092.40
Itemized bill requestedMon 09:14
Ready to clearWed 11:20
Preparing file…
Ready for reviewTue 14:02
Inpatient stay$48,300.00
ExaminerDana Kim · your team
Weekly ops summary
Pend inventory212 · down 38
Average pend age3.1 days
Turnaround vs. performance guaranteeOn track
100%of denial and medical-necessity decisions made by your people
Every plan you administer, looked after. Every claim, handled right.
A calmer day for your claims team
Book a 20-minute call. We will walk through your pend queue and show where Daybook fits alongside your claims system.