Rivet classifies a line item as a denial when it meets any of the following criteria:
A line item with a charged amount greater than $0.01 and an allowed amount of $0.00.
A line item with a charged amount greater than $0.01, $0.00 in payer payments, and $0.00 in patient responsibility.
Rivet auto moves a denied line item to Recovery:
Rivet will automatically move a denied line item to a Recovered status when the line item has a subsequent remit transaction with a positive allowed amount, positive payer paid amount, or positive patient responsibility amount.
If you have any additional questions about the Claims Resolution feel free to chat in or email at support@rivethealth.com.