Hospitals Adopted Bulk Denial Resolution Strategies
Major health systems have shifted revenue cycle workflows to target insurance denials through large-scale trend analysis.
Updated on Oct. 8, 2026 in Healthcare
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Texas Health Resources and the University of Maryland Medical System have overhauled their revenue cycle operations to address rising insurance denial patterns. Both health systems now use data-driven command centers and bulk-reprocessing workflows to identify and resolve systematic billing rejections.
Why it matters
By moving away from repetitive, individual tasking toward centralized trend identification, hospitals aim to stabilize their financial health and improve operational efficiency. This shift directly addresses the administrative challenges caused by complex payer behaviors and technical build constraints within billing software.
Texas Health Resources has spent 18 months refining its Epic system workflows following a build crisis, while the University of Maryland Medical System has operated its new revenue cycle command center for nine months. The scale of the resulting denial code reduction has not been quantified.
The players
Texas Health Resources
This faith-based nonprofit health system is headquartered in Arlington and operates numerous hospitals and clinics.
University of Maryland Medical System
Based in Baltimore, this regional health network consists of academic and community hospitals across Maryland.
The details
Health systems are now aggregating denial codes to launch single, bulk-reprocessing or appeal efforts rather than handling claims one by one. Texas Health Resources has further integrated an offshore augmented staffing model to support these redesigned workflows, while the University of Maryland Medical System maintains a payer behavior library to track specific rejection trends.
Timeline
Texas Health Resources went live with its Epic system in 2017.
The Epic system build crisis at Texas Health Resources occurred in April 2025.
The University of Maryland Medical System built its revenue cycle command center in January 2026.
Market Landscape
This transition mirrors a broader industry move toward automating revenue cycle management to mitigate the rising costs of administrative overhead. Health systems are increasingly consolidating data to challenge payer patterns, positioning themselves to counter widespread industry trends of rising claim denials.
While these internal changes primarily impact hospital billing departments, they are designed to streamline the revenue cycle and reduce administrative delays. Patients may eventually see improved processing times for their claims as hospitals achieve more efficient resolution workflows with insurance payers.
The takeaway
Large health systems are increasingly treating insurance denials as a systemic data problem rather than an individual billing task. Integrating centralized oversight and bulk-resolution strategies provides a roadmap for other providers looking to combat growing administrative complexities.
Further reading
For additional context on administrative shifts in the medical sector, explore the Healthcare section.
Source note: This article includes information reported by Becker's Hospital Review | Healthcare News & Analysis.
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