How Signal Works

Catching documentation gaps before they become denied claims

Without Signal

Patient flagged for CGM resupply

Staff manually tracks documentation across spreadsheets and faxes

Claim filed to payer

Denial: documentation incomplete

SWO missing · Qualifying visit overdue · PA not confirmed

Appeal filed — 6 to 8 week delay

Write-off or supply shipped at a loss

With Signal

Patient flagged for CGM resupply

Staff uploads patient list CSV — Signal ingests in seconds

Signal checks documentation status automatically

Standard Written Order (SWO)

Qualifying visit — within 6 months

Prior Authorization status

Gaps flagged on prioritized worklist — before any claim is filed

● SWO needed

● Visit overdue

Staff resolves gaps upstream — contacts prescriber, requests records

Clear to Ship — supply delivered on time

Problem

1 in 3

CGM claims with a doc error
CERT 2019

~25%

Of CGM supplies shipped at a loss when docs fail

6–8 wks

Average denial recovery after appeal

Signal

Day 1

Gaps visible before claim is filed

Claims filed with known documentation gaps