Create pre-cutoff adjudication ticket monthly for claims ops
Create pre-cutoff adjudication ticket monthly for claims ops
Your adjudication queue misses scheduled checks, leaving claims unreviewed and delaying cut-off. A pre-cutoff ticket assigns the review and ensures reimbursements are cleared before month end.
Overview
Monthly adjudication checks often slip through and claims pile up, delaying cut-off and creating backlog. This flow creates a pre-cutoff ticket and routes it to your claims processors, ensuring reviews occur before month-end and reducing outstanding items.