Skip to content
Rocky Solutions LLC

Guide

Working a denial backlog without wasting a quarter

Most dealerships have a denial pile and no plan for it, because working it is slow, uncertain, and has no deadline attached — so it always loses to work that does. Here is the method, whether you do it yourself or hand it to someone.

In short

Sort first, confirm what is still live, then rebuild around the specific objection. And price it on contingency so nobody profits from chasing dead claims.

Sort before you work

Split the pile into the four denial categories — documentation, coding, timing, and genuine ineligibility. Do the sort quickly and roughly; the point is to find the documentation and coding denials, which is where recoverable money concentrates.

Put the genuinely ineligible ones aside permanently and stop thinking about them. A backlog project that spends its effort on dead claims produces nothing and convinces everyone the exercise was pointless.

Find out what is still live

Resubmission and appeal windows vary by programme, and this is a question for your dealer policy manual or your warranty representative rather than for a guide. Ask it early, because it determines the size of the job.

Sort what remains by value, oldest-live first. Age works against you twice over — windows close, and the evidence needed to fix a documentation denial becomes harder to reconstruct with every month.

Rebuild around the specific objection

For each claim, work out what the programme actually objected to rather than what the code appears to say. Then assemble the evidence that answers that specific point.

What does not work is resubmitting the same claim with a covering note asking for reconsideration. Nothing has changed, and the second denial arrives faster than the first.

Where the evidence genuinely cannot be reconstructed — the part is scrapped, the machine is sold, the technician has left — stop. That claim has moved into the dead category and it belongs with the others.

Fix the process the pile is telling you about

A denial backlog is a diagnostic. If most of it is one category, you have found a specific process gap: no photographs, causal parts not identified, a coding habit that is wrong in a consistent way.

Recovering the money is worth doing once. Fixing what created the pile is worth doing permanently, and it is the part most backlog projects skip.

If you hand it to someone

Insist on contingency pricing. A provider claiming a backlog is recoverable should carry the risk of being wrong about it, and the hourly alternative pays them the same for chasing dead claims as live ones.

That is how we price it — 20% of what is actually recovered, nothing if nothing comes back, no charge for looking — and it is the arrangement we suggest first to almost every dealer we speak to.

Related guides

All guides

If you would rather not do this yourself

That is what we are for

We prepare, document, and submit manufacturer warranty claims for equipment dealerships. Bring a month of repair orders and your last few denials to a call, and you will get a straight answer about what is recoverable — whether or not you hire us.

CallFree claim audit