Know what is unpaid and why.
See denial rates, AR aging, and payer performance alongside the work needed to resolve each claim.
Acceptance & PA approval · combined view
| Payer | Claims acceptance | PA approval | Overall |
|---|---|---|---|
| Cigna | 94% | 91% | Excellent |
| Aetna | 91% | 88% | Excellent |
| UnitedHealthcare | 86% | 87% | Good |
| BCBS | 82% | 83% | Good |
| State Medicaid | 79% | 80% | Good |
| Anthem | 71% | 74% | Needs attention |
Work denials before filing deadlines.
Group denials by reason, payer, and root cause. Each item carries the proposed fix, appeal status, and filing window.
Post remittances and review exceptions.
Update claims, adjustments, and patient responsibility from the ERA.
Automatic matching posts payments to the correct claim and line.
Recoupments and underpayments are identified as remittances post.
Duplicate-post protection keeps the same remittance from changing the balance twice.