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Revenue Cycle Management

How a Multi-Specialty Health System Cut Denials 30% with Overnight Appeals

The Challenge

The health system's billing team was buried under a growing denials backlog. Every denied claim meant logging into the payer portal, finding the reason code, pulling documentation from the EHR, and drafting an appeal by hand. Work that took days stretched into a week during peak periods. Appeals missed filing deadlines, write-offs climbed, and skilled staff spent their time on repetitive data entry instead of the complex cases that actually needed judgment.

The Solution

Clicks now works the denials queue inside the same EHR, PM system, and payer portals the team already uses. Agents categorize each denial by root cause, pull the supporting documentation, draft the appeal letter, and resubmit, all with a full audit trail on every action. The backlog clears overnight, so the team starts each day with appeals already drafted and ready for review. Complex appeal strategy and payer escalations stay with the staff; the repetitive work does not.

“Our denials backlog used to take a week to work through. Clicks clears it overnight and drafts the appeals before our team even logs in.”

VP of Revenue Cycle, Multi-Specialty Health System

The Impact

Denials that used to sit in a queue for days now clear overnight. The denial rate dropped roughly 30% as Clicks fixed root causes upstream, and the cost to collect fell by about 60% versus the prior manual process. The billing team now spends its time on the complex cases that need human judgment, not repetitive portal work.

30%

Reduction in denial rate

~60%

Lower cost to collect

Overnight

Denials backlog turnaround

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