Commit to one denial root-cause fix

moving one repeated denial from correction to root-cause action A denial reason has repeated for the same provider group, benefit rule, auth feed, or eligibility condition. When I see the second repeat of [denial family] in [time window], I will sample [number] claims, write the suspected process cause and failed control, and bring it to [owner/huddle] by [date]. We will check whether you used the trigger, sampled the claims, and named an upstream owner. When I see a second no-auth denial tied to the same provider NPI or auth-feed mismatch. During my next denial quality review where one benefit-configuration issue…

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