Which item is not part of the Score calculation factors for insurance follow-up prioritization?

• A. Amount outstanding
• B. Age
• C. Number of denials received
• D. Patient's date of birth

Answer: (D)

Prioritization scoring for insurance follow-up relies on indicators that predict how likely a claim is to be paid and how urgently it needs attention. The amount outstanding shows the potential revenue at stake, so larger balances are often prioritized. The age of the claim—how long it has been in the system—helps flag older accounts that should be addressed to prevent further aging. The number of denials received indicates claim issues that, when frequent, should be investigated and corrected to recover payment. Demographic details like the patient’s date of birth don’t inform payment likelihood or urgency, so they aren’t used in the scoring. The item not part of the Score calculation factors is the patient’s birth date.