Abstract: A system and method processes unpaid healthcare claims related to reimbursement of a provision of healthcare to a patient in response to a rejection, a denial, or a lack of response to a submitted claim. An activity code is selected from a predetermined activity code set including codes identifying processing to be performed concerning rejected claim data in response to a received notification of a claim denial or rejection. The selected activity code is assigned to rejected claim data associated with the received notification. A task is scheduled, including performing processing concerning the rejected claim data, to derive corrected claim data including claim data supplemental to the rejected claim data and/or amended rejected claim data, in response to the assigned selected activity code. The corrected claim data is prepared for submission to a payer organization for payment.

Abstract: A system and method processes unpaid healthcare claims related to reimbursement of a provision of healthcare to a patient in response to a rejection, a denial, or a lack of response to a submitted claim. An activity code is selected from a predetermined activity code set including codes identifying processing to be performed concerning rejected claim data in response to a received notification of a claim denial or rejection. The selected activity code is assigned to rejected claim data associated with the received notification. A task is scheduled, including performing processing concerning the rejected claim data, to derive corrected claim data including claim data supplemental to the rejected claim data and/or amended rejected claim data, in response to the assigned selected activity code. The corrected claim data is prepared for submission to a payer organization for payment.