Real-Time Claims Dashboard
Live monitoring of claims processing metrics and KPIs
Claim Volume (7d)
159
+8.2% from last week
Paid Amount (7d)
$108K
+14.9% from last week
Denial Rate (7d)
6.7%
-1.5% from last week
Avg Processing Time
4.9 days
-0.9 days from last week
Pipeline Snapshot
Current status of claims in the processing pipeline
First-Pass Resolution
72.4%
Backlog > 30 days
68
Received: 324 claims
In Review: 256 claims
Pended: 163 claims
Approved: 876 claims
Denied: 245 claims
Financial Health
Financial metrics and trends for claims
YTD Incurred
$8.0M
YTD Paid
$6.97M
Trend Analysis
Historical trends and forecasts for key metrics
Processing Time
Average time (in days) for each stage of claims processing
Claims Aging Distribution
Current distribution of claims by age bucket
Aging Trend
Monthly trend of claims by age bucket
SLA Breach Risk
Claims approaching SLA breach by provider
Acme Hospital
High
12 claims
City Medical
Medium
8 claims
Family Practice
Low
5 claims
Wellness Clinic
Medium
7 claims
Regional Med
High
10 claims
SLA Summary
Total at Risk
42 claims
Avg Days to SLA
1.8 days
AI Insights
Automated analysis and recommendations
Potential Duplicate Claims
12 claims detected with similar CPT codes for the same patients within 30 days
Coding Optimization
32 claims could benefit from more specific ICD-10 codes based on documentation
High Denial Risk
8 claims flagged for missing documentation or authorization issues