Practice Analytics
Revenue cycle performance, denial trends, and payer benchmarks
Clean Claim Rate
94.7%
+0.8pp vs. last month
Avg Days to Payment
19.4 days
-2.1d vs. last month
First-Pass Rate
91.2%
+1.4pp vs. last month
Total AR Outstanding
$91k
-8.2% vs. last month
AR & Collections Trend (7 Weeks)
AR Aging Buckets
Current
$48k
31-60d
$22k
61-90d
$11k
91-120d
$6k
>120d
$3k
Total Outstanding$91.0k
Denials by Reason Code
CO-45 Fee Schedule
38%(28)
CO-4 Modifier
19%(14)
CO-197 Auth Missing
15%(11)
CO-167 Medical Necessity
11%(8)
CO-96 Non-Covered
8%(6)
Other
9%(7)
Payer Performance Benchmarks
| Payer | Accept % | Avg Days | Denial % |
|---|---|---|---|
| BlueCross | 96.2% | 14d | 3.8% |
| UHC | 94.8% | 18d | 5.2% |
| Aetna | 95.1% | 16d | 4.9% |
| Cigna | 93.4% | 22d | 6.6% |
| Medicare | 97.8% | 28d | 2.2% |
| Medicaid | 91.2% | 35d | 8.8% |