Fully denied vs. Partially denied claims

A claim isn't just "paid" or "denied," it can be a mix. A fully denied claim was rejected in its entirety. A partially denied (line-item denial) claim had multiple service lines, and only some were denied while others were paid, so the claim as a whole isn't treated as a denial. Contractual adjustments (the write-downs already built into your payer contracts) aren't treated as denials either.

Where this shows up:

Denial Intelligence only counts fully denied claims. A claim with one denied line and the rest paid won't appear there, even though it reflects a real, partial loss.