06Denials & AR analytics
Denials and AR you can finally see.
A live denial rate, every denial categorized by reason and payer, AR-aging, and payer performance — a worklist, not a monthly export.
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 |
Denial worklist
Every denial, categorized, with the next action
Denials are grouped by reason, payer, and root cause — each with the fix and the appeal status attached — so nothing sits untouched past timely filing.
Denial → dollars
Posting
Remittances post themselves
Electronic remittances post automatically against the right claims, adjustments, and patient responsibility — with recoupment and underpayment detection and double-post protection. Daily posting becomes a short exception queue.
Auto-post. ERAs matched to the right claims and line-level adjustments.
Recoupment. Recoupments and underpayments detected as they post.
Timely-filing. A watchdog on filing windows before they close.