Medical Billing Dashboard
Healthcare Revenue Cycle Management
Live Data
First Pass Rate
+2.3%
87.4%
Target: 90%
Second Pass Rate
+5.1%
72.8%
Target: 80%
Total Claims MTD
+12%
4,287
3,746 Paid
541 Denied
Revenue Collected
+8.7%
$1.24M
Billed: $1.52M
Pass Rate Trend (Last 6 Months)
First Pass
Second Pass
Top Denial Reasons
Missing/Invalid Information28%
Prior Authorization Required24%
Service Not Covered19%
Duplicate Claim15%
Timely Filing14%
Claims Submitted
3,142
↑ 156 from last week
Accepted on First Pass
2,746
87.4% acceptance rate
Amount Collected
$3.41M
↑ $245K from last week
Denied/Rejected/Under Paid
396
Moving to 2nd pass
Zero Pay (%)
2.1%
↓ 0.3% from last week
Claims Fixed by AI (%)
68.4%
↑ 5.2% from last week
Recent First Pass Claims
| Date | Date of Service | Claim ID | Payer | Facility | Amount | Verification | Final Verification Status | Payment Status | Collected Amount | Patient Original Data | Patient Updated Data | Change Description |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Jun 14, 2024 | – | CLM-2024-8847 | Blue Cross | Medical Center North | $1,245.00 | Verified | Paid | Processed | $1,245.00 | – | – | Emergency visit |
Payment Transactions
| Payment Date | Payment ID | Payer | Original Amount | Payment Amount | Payment Method | Status | # Claims |
|---|
Claims Resubmitted
1,145
Awaiting resolution
Successfully Recovered
834
72.8% recovery rate
Revenue Recovered
$287K
↑ $42K this month
Appeal Status Breakdown
Pending Review
Avg 12 days in queue
Under Investigation
With payer review team
Approved This Week
Ready for payment
Recent Appeals
| Claim | Reason | Status |
|---|---|---|
| CLM-8821 | Prior Auth | Approved |
| CLM-8819 | Missing Info | In Review |
| CLM-8815 | Coding Error | Approved |
| CLM-8812 | Duplicate | Denied |