AR Performance
Aging, payer behavior, and at-risk claims across the practice
Days in AR
48
benchmark 35–45
Net Collection Rate
93.2%
Clean Claim Rate
88.5%
Total AR
$1,850,000
Days in AR trend
Rolling 12 months
Revenue leakage alerts
- Timely filing deadline in 7 daysCLM-20512 · UnityCare · $3,840
- Payer slowdown detectedNational Benefit Partners +9 days vs trend
- Repeat rejection cluster14 claims with same payer ID error
Payer performance
| Payer | Days in AR | Net Collection | Clean Claim | Claim Volume |
|---|---|---|---|---|
| Horizon Health Plan | 38 | 95.1% | 92.1% | 412 |
| UnityCare Insurance | 44 | 93.8% | 89.4% | 318 |
| Summit Blue | 52 | 91.2% | 86.8% | 244 |
| National Benefit Partners | 61 | 88.7% | 84.2% | 198 |
| MetroChoice Health | 47 | 92.4% | 88% | 167 |
Claims
Fictional patient reference IDs — no PHI
| Claim | Payer | Patient Ref | DOS | Amount | Balance | Days in AR | Status | Risk | Recommended Action |
|---|---|---|---|---|---|---|---|---|---|
| CLM-20431 | National Benefit Partners | PT-990868 | 2025-03-06 | $1,373 | $1,139 | 96 | Denied | High | Payer follow-up |
| CLM-20432 | UnityCare Insurance | PT-310806 | 2025-08-09 | $6,693 | $5,491 | 52 | Denied | Medium | Repair rejection |
| CLM-20433 | National Benefit Partners | PT-781058 | 2025-01-17 | $1,688 | $1,253 | 62 | Submitted | Medium | Draft appeal |
| CLM-20434 | MetroChoice Health | PT-526520 | 2025-03-03 | $7,626 | $5,367 | 95 | Rejected | High | Payer follow-up |
| CLM-20435 | UnityCare Insurance | PT-776806 | 2025-02-26 | $2,489 | $1,064 | 106 | Submitted | High | Payer follow-up |
| CLM-20436 | UnityCare Insurance | PT-530162 | 2025-01-04 | $8,885 | $5,146 | 16 | Rejected | Low | Payer follow-up |
| CLM-20437 | Horizon Health Plan | PT-512330 | 2025-05-15 | $2,385 | $2,085 | 43 | Rejected | Low | Resubmit |
| CLM-20438 | UnityCare Insurance | PT-404724 | 2025-06-09 | $5,692 | $4,630 | 107 | Submitted | High | Repair rejection |
| CLM-20439 | Summit Blue | PT-418006 | 2025-08-27 | $7,226 | $3,135 | 106 | Rejected | High | Verify auth |
| CLM-20440 | MetroChoice Health | PT-751027 | 2025-08-09 | $6,805 | $2,581 | 21 | Rejected | Low | Verify auth |
| CLM-20441 | National Benefit Partners | PT-710225 | 2025-07-24 | $7,967 | $3,722 | 91 | In Process | High | Resubmit |
| CLM-20442 | Summit Blue | PT-434082 | 2025-03-09 | $1,691 | $776 | 118 | Denied | High | Resubmit |
| CLM-20443 | Summit Blue | PT-203017 | 2025-01-25 | $6,667 | $5,164 | 81 | Rejected | Medium | Repair rejection |
| CLM-20444 | Summit Blue | PT-828653 | 2025-03-14 | $4,565 | $1,471 | 36 | Submitted | Low | Resubmit |
| CLM-20445 | Horizon Health Plan | PT-415571 | 2025-02-03 | $3,765 | $1,717 | 153 | Paid | High | Draft appeal |
| CLM-20446 | National Benefit Partners | PT-338311 | 2025-03-14 | $1,240 | $427 | 41 | In Process | Low | Payer follow-up |
| CLM-20447 | National Benefit Partners | PT-418426 | 2025-05-27 | $753 | $262 | 43 | Submitted | Low | Resubmit |
| CLM-20448 | National Benefit Partners | PT-349340 | 2025-03-08 | $6,803 | $5,971 | 109 | In Process | High | Payer follow-up |
| CLM-20449 | MetroChoice Health | PT-379823 | 2025-05-02 | $1,864 | $1,787 | 47 | Paid | Medium | Payer follow-up |
| CLM-20450 | MetroChoice Health | PT-560065 | 2025-07-25 | $6,594 | $3,054 | 113 | Submitted | High | Repair rejection |
| CLM-20451 | National Benefit Partners | PT-772633 | 2025-02-03 | $3,548 | $3,207 | 64 | In Process | Medium | Verify auth |
| CLM-20452 | National Benefit Partners | PT-612956 | 2025-01-18 | $4,235 | $3,288 | 144 | Submitted | High | Draft appeal |
| CLM-20453 | Summit Blue | PT-304603 | 2025-07-19 | $1,652 | $1,540 | 78 | In Process | Medium | Repair rejection |
| CLM-20454 | Horizon Health Plan | PT-447206 | 2025-03-06 | $4,022 | $3,046 | 84 | Denied | Medium | Draft appeal |
| CLM-20455 | Horizon Health Plan | PT-798869 | 2025-02-22 | $3,644 | $2,780 | 49 | Rejected | Medium | Payer follow-up |
| CLM-20456 | Horizon Health Plan | PT-165289 | 2025-07-05 | $864 | $330 | 77 | In Process | Medium | Resubmit |
| CLM-20457 | Horizon Health Plan | PT-431544 | 2025-02-04 | $7,909 | $6,764 | 29 | Rejected | Low | Payer follow-up |
| CLM-20458 | UnityCare Insurance | PT-598259 | 2025-06-17 | $7,016 | $5,706 | 74 | Rejected | Medium | Resubmit |
| CLM-20459 | UnityCare Insurance | PT-506734 | 2025-07-16 | $974 | $407 | 41 | In Process | Low | Draft appeal |
| CLM-20460 | MetroChoice Health | PT-870479 | 2025-02-08 | $9,209 | $3,092 | 112 | Submitted | High | Draft appeal |
| CLM-20461 | UnityCare Insurance | PT-316294 | 2025-03-05 | $6,693 | $3,935 | 69 | Submitted | Medium | Draft appeal |
| CLM-20462 | Horizon Health Plan | PT-964799 | 2025-01-18 | $3,521 | $1,750 | 127 | Rejected | High | Payer follow-up |