Build a daily claim denial worklist and keep rejections from aging
Every morning, WebRun opens FrameworkLTC, pulls all pharmacy claims denied or rejected in the past 24 hours, groups them by denial reason code and nursing facility, logs the full denial worklist to Google Sheets, and posts a Slack digest to your billing team with the top denial categories so every rejection is actioned on the day it arrives.
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How do I automatically build a daily LTC pharmacy claim denial worklist?
WebRun opens FrameworkLTC every morning, pulls all pharmacy claims denied or rejected in the past 24 hours, groups them by reason code and facility, logs the full worklist to Google Sheets with resolution status columns, and posts a Slack digest with the top denial categories and total dollars at risk so your billing team acts on every rejection the day it arrives.
- Every claim denial is visible to the billing team on the day it arrives
- Top denial reason codes are surfaced each morning so systemic issues are fixed quickly
- No denial ages into a write-off because it was missed in the queue
Built for long-term care pharmacies · LTC pharmacy billing teams · pharmacy revenue cycle managers · nursing facility pharmacy billing coordinators
What does WebRun do on every run?
The exact actions WebRun takes, in order - in plain language, so you can adjust anything.
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WebRun signs in and gets to work
Opens
www.frameworkltc.comin a real browser with your saved login - no setup, no API keys. -
1
FrameworkLTC - pull denied and rejected claims
frameworkltc.com How to Automate FrameworkLTC
WebRun opens FrameworkLTC to pull denied and rejected claims. - Open FrameworkLTC and navigate to the billing and claims management section
- Filter claims for rejections and denials recorded in the last 24 hours
- Capture the claim number, facility, payer, denial reason code, drug name, and billed amount for each
- Group denials by reason code to identify the most common failure patterns
Done when All denied and rejected claims from the past 24 hours are listed and categorized.
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2
Google Sheets - log denial worklist by reason and facility
google.com How to Automate Google Sheets
WebRun opens Google Sheets to log denial worklist by reason and facility. - Open the claim denial worklist Google Sheet
- Append today's denials with full detail: facility, payer, reason code, drug, and amount
- Add a resolution status column for billing team to mark each claim as corrected, appealed, or written off
Done when The Google Sheet worklist is updated with today's denials ready for billing team action.
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3
Slack - post billing team digest with top denial categories
slack.com How to Automate Slack
WebRun opens Slack to post billing team digest with top denial categories. - Post a morning digest to the billing Slack channel with the total denial count and top 3 reason codes
- Include the total dollar value at risk from today's denials
- Include a link to the Google Sheet worklist for the billing team to begin actioning
Done when Billing team has today's denial summary and worklist link in Slack.
How is each run configured?
Secure by default
Connect once, stays signed in
WebRun signs in once and keeps each session in a persistent environment, so every run picks up right where it left off.
Every action is checked against this policy before it runs.
Questions, answered
Will it resubmit or appeal denied claims automatically?
No. WebRun surfaces the denials and organizes them into a worklist. Any claim correction, resubmission, or formal appeal is carried out by your billing team after reviewing the denial detail. Nothing is filed with a payer automatically.
Does it handle both Medicare Part A and Part D denials?
Yes. It pulls all claim rejections and denials recorded in FrameworkLTC regardless of payer type, including Medicare Part A, Part D, Medicaid, and commercial plans, so your billing team sees the full picture each morning.
What if the same claim was denied twice?
Each denial entry in FrameworkLTC is captured separately. Repeat denials on the same claim appear with their own timestamp and reason code so billing can see the full denial history before deciding on the next action.
Related templates
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