Rejection Management
Finance and revenue cycle overview — recover rejected claims faster
Rejected this month
47 claims
Total value
AED 312,400
Recovered via resubmission
AED 198,000
↑ 63% recovery rate
Outstanding
AED 114,400
Rejection reasons
This month breakdown
ICD-10 mismatch34%
Incomplete documentation23%
Not covered under policy16%
Auth expired10%
Duplicate claim9%
Other8%
| Claim ID | Patient | TPA | Reason | Value | Days | Status | |
|---|---|---|---|---|---|---|---|
| CLM-009 | PT-9156 | Almadallah | ICD-10 mismatch with Malaffi | AED 32,000 | 2d | Open | |
| CLM-010 | PT-1045 | Daman | Missing attending physician notes | AED 3,500 | 1d | Open | |
| CLM-015 | PT-5568 | Daman | Not covered under policy | AED 980 | 3d | In resubmission | |
| CLM-018 | PT-8891 | Almadallah | Pre-auth expired before treatment | AED 2,600 | 5d | Open | |
| CLM-022 | PT-3245 | GlobeMed | Duplicate submission | AED 17,800 | 4d | Open | |
| CLM-026 | PT-7689 | MedNet | ICD-10 mismatch with Malaffi | AED 12,400 | 6d | Recovered | |
| CLM-027 | PT-8790 | NAS Neuron | Incomplete documentation | AED 8,900 | 7d | Recovered | |
| CLM-028 | PT-9812 | Nextcare | ICD-10 mismatch with Malaffi | AED 15,600 | 8d | In resubmission | |
| CLM-029 | PT-1024 | GlobeMed | Not covered under policy | AED 4,200 | 10d | Open | |
| CLM-030 | PT-1135 | Daman | Auth expired | AED 7,800 | 12d | Recovered | |
| CLM-031 | PT-1246 | MedNet | Duplicate submission | AED 5,600 | 14d | Open | |
| CLM-032 | PT-1357 | Almadallah | Incomplete documentation | AED 22,100 | 3d | Open |