K
Status Overview
Total Claims
3
Paid
1
Pending
1
Denied
1
Financial Summary
Total Charges
$5,350.00
Total Paid
$120.00
Outstanding
$30.00
Performance Metrics
Claims Submitted
3 / 3
100% submitted
Collection Rate
33.3%
Target: 85%+
Denial Rate
33.3%
Target: < 5%
Pending Claims
1
Awaiting payment
CLM-2024-001236
processing
Patient
Emily Davis
Service Date
11/20/2024
Total Charges
$200.00
Insurance
Cigna
Procedures:
99395: Preventive medicine visit
CLM-2024-001234
paid
Patient
John Smith
Service Date
11/19/2024
Total Charges
$150.00
Insurance
Blue Cross Blue Shield
Procedures:
99213: Office visit - established patient
CLM-2024-001235
denied
Patient
Sarah Johnson
Service Date
11/18/2024
Total Charges
$5,000.00
Insurance
Aetna
Procedures:
27447: Total knee arthroplasty
Denial Reason:
Prior authorization required