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The Denial skill is currently available in Preview. The Denial skill extracts data from insurance denial letters — the documents an insurance company issues to explain why it is refusing or denying responsibility for payment of medical services or treatment provided to the insured or a family member. The Denial skill is a preview skill. It has been trained on a limited set of documents and is designed to help you quickly get started with processing denials from insurance companies.
The Denial skill cannot be trained on additional documents.
The Denial skill makes use of a data catalog named DenialReasons, containing the following columns:
  • DenialReasonID
  • DenialReasonDescription
The DenialReasons data catalog is filled in with demo values by default. Before using the skill, remove these demo values and add your own custom data into the DenialReasons data catolog. For more information about data catalogs and how to edit them, see the Skill Designer Guide. The Denial skill recognizes handwritten text. This option is enabled by default. If you do not import handwritten forms, disable the Handwritten option in the skill settings.

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Languages

  • English

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Extracted Fields

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Key Fields

  • Patient Name
  • Patient Account Number

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Parameters

The Denial skill has a default parameter that specifies which data catalog is to be used to look up denial reasons. You can change the value of these parameters in Vantage or in Advanced Designer to modify the field extraction process.