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Claim watch

Claims should not need emotional-support spreadsheets. Your Assistant watches for rejections, denials, and claims that have stalled so you can deal with exceptions instead of babysitting the queue.

Billing
EHR plan
Runs on its own:
Runs in the background

Ask your Assistant

Claim watch: denials and stalled claims, flagged early

Review my open claims and tell me which ones need action now. Prioritize denials, rejections, claims that have stalled unusually long, and anything approaching a filing or follow-up deadline, then tell me the next step for each.

See it work

Example

Claim watch

Alex · Tue 2:00 PM · Session 14

3 claims need attention:

  • Alex, 8/14: rejected for subscriber ID mismatch. Correct demographic field and resubmit.
  • M., 8/21: no payer response after 28 days. Follow up on claim status.
  • Morgan, 8/28: denied for missing authorization. Review authorization record before appeal or correction.

Fictional example · No real client data.

How it works

Reads from

Claims

Can do

List what's open

Flag issues

Suggest next steps

Runs on its own

It watches the claim status

Submitted claims are monitored for responses, stalls, rejections, and denials.

It surfaces the exceptions

See the claims that need action and why, instead of scanning every row looking for trouble.

You handle what matters

Fix, resubmit, appeal, or follow up from a short worklist rather than living inside the billing tab.

Your most popular FAQs

Why do therapy claims get rejected or stall?

Rejections usually come from data errors caught by the clearinghouse: wrong IDs, codes or dates. Denials come from the payer after adjudication. Stalls happen when a claim sits without a response and nobody follows up. Each needs a different action, and all of them age badly.

What does Claim watch flag?

Rejections, denials and claims that have stalled, surfaced before they age, so you deal with exceptions instead of scanning the queue.

Does it run on its own?

Yes. Claim watch runs in the background and brings exceptions to you. You can also ask for the current status of your claims at any time.

Does it correct or resubmit claims itself?

No. It flags the exception and what is likely wrong. Correcting and resubmitting a claim is your call, made in Upheal's billing with the note and the claim in front of you.

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