Defining DA Reason Taxonomy Labels The Dispute Decision Accuracy (DA) Reason Taxonomy will allow us to dive deeper into why a dispute was decisioned correctly or incorrectly by the original investigating agent.
There are three levels of DA reason taxonomy labels which you will need to be familiar with. Level 1 Catalyst The main cause for the decision accuracy reason. Level 2 Category Common categories for the Catalyst identified in Level1 Level 3 Detail Additional detail describing the category defined in Level 2 DA Reason Taxonomy Labeling Process Step 1 Complete the applicable review of the initial investigator’s decision within your role’s purview.
Be sure to capture comprehensive findings of your review within Inspector according to business-as-usual procedure. Step 2 Determine whether you will be upholding or overturning the initial investigator’s claim denial decision. Dispute Decision Accuracy (DA) Reason Taxonomy Guide - a KB article where you can refer to the labels and their definitions.
2 DEX-2024 Decision Accuracy Taxonomy Label Generator - where you will input the labels to generate a standard taxonomy.