Docs / Root cause and denial prioritization
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Root cause and denial prioritization
DenialOS contains domains for patterns, payer intelligence, deadline risk, action decision support, and recovery strategy.
These systems support operational prioritization and reasoning; they do not establish an external payer's definitive rationale when the authoritative evidence is missing.
Practical distinction
A workflow can say:
- source denial code observed;
- payer interaction recorded;
- supporting documentation missing;
- a probable operational cause inferred;
- a recommended next action prepared.
It should not silently convert the last two items into source facts.