Denied is not the only way to lose money

This claim was billed as a high complexity visit. The payer quietly paid it as a moderate one, which balances perfectly and is $68.90 short of the contract. Only a comparison with the fee schedule catches it.

The opposite mistake matters too: a claim that paid $0 because the patient had not met their deductible ($119.60 assigned to the patient) is paid correctly, not denied. The bridge knows the difference, so the work queue only holds real problems.