Auto-Generated Proof of Timely Filing (POTF) Appeal Letter for Denied Claims

• Eligibility:
  • The POTF button is only visible for claims denied specifically due to late filing.
  • Claims denied for other reasons (e.g., incorrect coding, medical necessity) will not show the POTF option.
• Data Retrieval:
  • Information is fetched from the most recent submitted claim and payer response.
  • If any information is missing, a prompt will allow manual entry.
• Letter Format:
  • A standardized POTF letter format has been implemented in CureMD.
  • Designed for print-readiness and payer compliance.
• Output Options:
  • Users can choose to print or save as PDF.
  • PDF copies are archived and can be retrieved later.
• Audit & Tracking:
  • Every generated letter is logged, including:
    • User ID
    • Date and Time
    • Claim ID

Benefits

• Reduces manual effort and delays in appeal processing.
• Ensures accurate data and standard formatting.
• Improves tracking, auditing, and documentation readiness for compliance purposes.