How to Build a Denial Work Queue Prioritized by Expected Value
Deepak Chandrasekhar(Co-Founder & CTO)
June 2026 10 min read
“Stop sorting your denial queue by FIFO or pure dollar amount. Here is the mathematical formula top revenue cycle teams use to maximize recovered dollars per hour.”
Traditional billing teams work denials in chronological order (FIFO) or sort by claim balance descending. Both approaches leave millions on the table by ignoring deadline risk and historical overturn probabilities.
Expected Value (EV) sorting computes: EV = Claim Dollars × Payer Overturn Probability (%) ÷ Estimated Biller Review Time (min) × Timely Filing Urgency Factor.
When applied across an active remittance dataset, EV queueing recovers 34% more cash in the first 30 days without increasing biller working hours.