| Claim ID | Date Submitted | Date Processed | Status | Billed Amount | Allowed Amount | Patient Resp. | Payor Paid |
|---|---|---|---|---|---|---|---|
| ANT2024001 | 2024-03-20 | 2024-03-23 | Paid | $1,250.00 | $950.00 | $200.00 | $750.00 |
| ANT2024002 | 2024-03-20 | 2024-03-23 | Pending | $2,430.00 | $1,950.00 | $390.00 | $1,560.00 |
| ANT2024003 | 2024-03-19 | 2024-03-22 | Denied | $3,150.00 | $0.00 | $3,150.00 | $0.00 |
| ANT2024038 | 2024-03-01 | 2024-03-04 | Paid | $875.00 | $700.00 | $140.00 | $560.00 |
| ANT2024039 | 2024-03-01 | 2024-03-04 | Pending | $1,920.00 | $1,536.00 | $307.20 | $1,228.80 |
| ANT2024040 | 2024-03-01 | 2024-03-04 | Denied | $4,500.00 | $0.00 | $4,500.00 | $0.00 |
| Claim ID | Date Submitted | Date Processed | Status | Billed Amount | Allowed Amount | Patient Resp. | Payor Paid |
|---|---|---|---|---|---|---|---|
| CNC24CA0001 | 2024-03-20 | 2024-03-23 | Paid | $2,350.00 | $1,880.00 | $376.00 | $1,504.00 |
| CNC24CA0002 | 2024-03-20 | 2024-03-23 | Review | $1,875.00 | $1,500.00 | $300.00 | $1,200.00 |
| CNC24CA0003 | 2024-03-19 | 2024-03-22 | Rejected | $4,250.00 | $0.00 | $4,250.00 | $0.00 |
| CNC24CA0038 | 2024-03-01 | 2024-03-04 | Paid | $1,650.00 | $1,320.00 | $264.00 | $1,056.00 |
| CNC24CA0039 | 2024-03-01 | 2024-03-04 | Review | $3,125.00 | $2,500.00 | $500.00 | $2,000.00 |
| CNC24CA0040 | 2024-03-01 | 2024-03-04 | Rejected | $5,750.00 | $0.00 | $5,750.00 | $0.00 |
| Claim ID | Date Submitted | Date Processed | Status | Medicare Allowed | Medicare Paid | Secondary Paid | Patient Resp. |
|---|---|---|---|---|---|---|---|
| MRP24CA0001 | 2024-03-20 | 2024-03-23 | Processed | $1,350.00 | $1,080.00 | $270.00 | $0.00 |
| MRP24CA0002 | 2024-03-20 | 2024-03-23 | Under Review | $875.00 | $700.00 | $175.00 | $0.00 |
| MRP24CA0003 | 2024-03-19 | 2024-03-22 | Not Covered | $2,250.00 | $0.00 | $0.00 | $2,250.00 |
| MRP24CA0038 | 2024-03-01 | 2024-03-04 | Processed | $650.00 | $520.00 | $130.00 | $0.00 |
| MRP24CA0039 | 2024-03-01 | 2024-03-04 | Under Review | $1,125.00 | $900.00 | $225.00 | $0.00 |
| MRP24CA0040 | 2024-03-01 | 2024-03-04 | Not Covered | $3,750.00 | $0.00 | $0.00 | $3,750.00 |
| Risk Level | Patient Count | Percentage | Trend |
|---|---|---|---|
| High Risk | 2,145 | 17.2% | ↑ 2.3% |
| Medium Risk | 4,532 | 36.4% | ↓ 1.5% |
| Low Risk | 5,780 | 46.4% | ↓ 0.8% |