The overarching goal of this report is to promote administrative simplification, consistency and transparency as well as increase automation, improve the patient experience and enhance yield performance by creating and defining claim resolution standards and metrics for measurement and benchmarking. This broad goal includes:

• Creating tools to help delineate the scope of the denials management issue
• Building awareness of the denials management issue and associated costs to the healthcare industry
• Promoting collaboration among providers, clinicians and health plans to work toward solutions
• Helping to reduce the infrastructure required to manage denials and improve claim integrity
• This work will be ongoing and will evolve as regulations and environmental factors change.