With the previous appeals made by the hospitals to the insurance company for outstanding payment completion, about 70% resulted in failure.
Our client wanted to understand the reasons leading to these appeals resulting in success or getting retired. They also wanted to identify the combination of words that could improve the chances of appeals to be successful. The success of the appeal was defined by a payment made after it, which can be quantified by calculating the actual payment-to-payment request ratio, considered as the dollar ratio.