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AM

Alex Morgan

Administrator

Executive DashboardClaims IntelligenceDenial IntelligencePayment IntelligenceRevenue SignalsRevenue HealthFinancial AnalyticsPayer IntelligenceCollectionsRevenue Insights

Revenue Intelligence

Enterprise financial intelligence — optimize claims, reduce denials, and improve revenue performance

Demo environment. All data is synthetic and for evaluation purposes only. No real patient or financial data is displayed.

Overview

Revenue Intelligence transforms operational and financial data into enterprise insights. Rule-based signals today — extension points ready for FastAPI AI integration. This is not a billing module or traditional revenue cycle replacement.

Net Revenue (MTD)

$4.2M

+3.1% vs prior month

Collection Rate

94.8%

Target: 96%

Days in A/R

38.2

Industry benchmark: 35

Clean Claim Rate

91.4%

First-pass acceptance

Active Signals

8

Rule-based revenue intelligence

Revenue Health Score

82

Composite index

Pending Claims

34

$142K estimated value

Denial Rate (MTD)

6.2%

Target: below 5%

Aging > 30 days

11

Claims requiring action

Review Queue

9

Awaiting coder review

Claims by Status
Distribution for current period
Attention Required
Active revenue signals
  • High Denial Rate — MedicaidCritical
  • Claims Aging — CLM-8820Warning
  • Outstanding CollectionsWarning
  • Revenue Leakage — UnderpaymentsCritical
View Revenue SignalsView Denials
Aging Overview
Claims exceeding 30 days outstanding
  • CLM-882933d
  • CLM-882043d
  • CLM-880258d
Recent Activity
Latest revenue events
  • Rule engine generated 8 revenue signals5 min ago
  • Appeal submitted for CLM-8820 — Cigna PPO1 hr ago
  • ERA batch posted — 14 payments ($42.8K)2 hr ago
  • Collection follow-up logged for CLM-88023 hr ago
Open Insights
Rule-based revenue intelligence

Medicaid denial spike in General Surgery

High

Denial rate increased 4.2pp over 30 days driven by CO-16 documentation gaps.

Cigna PPO payment lag

Medium

Average days to pay increased to 35 — 7 days above contract terms.

High-value accounts aging

High

2 accounts over $3K outstanding beyond 40 days — prioritize outreach.

Underpayment pattern — Aetna HMO

Medium

3 partial payments this month suggest contract rate mismatch.

Quick Access
Revenue Intelligence modules

Claims Intelligence

8 records (sample)

Denial Intelligence

5 records (sample)

Payment Intelligence

6 records (sample)

Revenue Signals

8 records (sample)

Revenue Health

6 records (sample)

Financial Analytics

Payer Intelligence

6 records (sample)

Collections

5 records (sample)

Revenue Insights

4 records (sample)