Revenue Cycle Intelligence
AI-powered claim optimization, denial prediction, and collection prioritization
Claims Flagged Today
8
Est. Savings This Month
$4,200
Avg Time to Resolution
4.2 days
Clean Claim Rate
94.8%
EyeMed | 92014 | $325
Risk: Missing prior auth - EyeMed requires auth for medical codes
Recommended: Attach auth #EA-44821 before submission
VSP | V2799 | $185
Risk: Non-covered lens code for VSP plan type
Recommended: Switch to V2020 or bill patient directly
HMSA | 92004 | $250
Risk: Duplicate DOS - existing claim CLM-40198 for same date
Recommended: Review for void/rebill or combine services
United | 92014 | $380
Risk: Modifier 25 missing - E&M with procedure on same DOS
Recommended: Add modifier 25 to E&M code
EyeMed | 99213 | $165
Risk: Medical code on vision plan - likely wrong payor
Recommended: Route to medical insurance (Aetna)
Medicare | V2020 | $210
Risk: Medicare does not cover routine vision - patient is 62
Recommended: Verify Medicare Advantage vision benefit or bill VSP
VSP | 92012 | $195
Risk: Timely filing risk - DOS 45 days ago, VSP limit is 60 days
Recommended: Expedite submission - 15 days remaining
EyeMed | V2781 | $148
Risk: Progressive lens add-on without base lens claim
Recommended: Ensure base lens claim CLM-10304 submitted first