Where are denials that should be reviewed placed by the system?

• A. Follow-up Workqueues
• B. Denial Review Queues
• C. Payer Denial Queues
• D. Billing Error Queues

Answer: (B)

Denials that need human assessment are routed into Denial Review Queues. This type of queue is specifically designed to hold denials that require review to decide the next action—whether to appeal, resubmit, or adjust the claim. Keeping these items in a dedicated denial review queue helps ensure consistent handling, clear ownership, and traceability of what was reviewed, what the payer’s reason codes mean, and what documentation is needed.

Follow-up Workqueues are generally for ongoing follow-ups on claims that aren’t yet resolved, not specifically for reviewing the denial itself. Payer Denial Queues may sound relevant, but they’re typically used to separate payer-originated denials from internal items and aren’t as explicit about the required review workflow. Billing Error Queues focus on errors in the billing process, not the formal denial review process.