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Metric

Deployments

Live
Add/Update Coverage - Medicaid
Insurance Verification & Eligibility
1
Insurance Verification Rate
1
Live
Authorization Status - VA
Authorization
1
Initial Denial Rate
1
Live
Authorization Status - UHC
Authorization
1
Initial Denial Rate
1
Live
Add/Update Coverage - Medicaid
Insurance Verification & Eligibility
1
Insurance Verification Rate
1
Live
Provider Level Balancing (PLB) - Adjustments
Cash Posting
1
Cash Collection as % of Net Revenue
1
Live
Provider Level Balancing (PLB) - Interest Payments
Cash Posting
1
Cash Collection as % of Net Revenue
1
Live
Provider Level Balancing (PLB) - Out of Balance
Cash Posting
1
Cash Collection as % of Net Revenue
1
Live
Provider Enrollment - Delegated Roster Creation
Provider Enrollment & Credentialing
1
Initial Denial Rate
1
Live
Patient Address Update - USPS
Registration
1
Pre-Registration Rate
1
Live
Medicare Beneficiary ID (MBI) Lookup - UHC and Palmetto eServices
Insurance Verification & Eligibility
1
Insurance Verification Rate
1
Live
Provider Enrollment - NC Tracks Portal - Issue List
Provider Enrollment & Credentialing
1
Initial Denial Rate
1
Cancelled
Weekly Pharmacy Price Updates
Pharmacy
1
Other
1
Being Pursued
Reporting - Client Invoice
Reporting
1
Not Applicable
1
Live
Daily Census, Admit, Discharge Reports - Payer Submission
Case Management & Utilization Review
1
Not Applicable
1
Live
Correspondence Processing - Denials
Health Information Management (HIM)
1
Denial Write offs
1
Live
New Audit Upload - Cobius
Health Information Management (HIM)
1
Other
1
Live
Authorization Denial Resolution - UHC
Denials & Appeals
1
Denial Write offs
1
Live
Authorization Denial Resolution - Aetna
Denials & Appeals
1
Denial Write offs
1
Live
Authorization Denial Resolution - HPHC, Tufts, UHC
Denials & Appeals
1
Denial Write offs
1
Live
Authorization Submission - NOA - eFax
Authorization
1
Initial Denial Rate
1
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