PayerFight Insights
Patterns worth your attention.
AI-powered intelligence
UnitedHealthcare reimbursement has declined
Average reimbursement for 90837 decreased 8.4% over the past 90 days.
Potential annual impact−$24,800
Aetna denials are increasing
Your Aetna denial rate increased from 4.8% to 7.2% this quarter.
Previous quarter4.8%
Current quarter7.2%
Change+2.4 pts
Recurring documentation-related denials may warrant a targeted review. Review the affected claim evidence before pursuing an appeal.
Estimated revenue at risk annually$11,400
Horizon BCBS is your strongest payer
Horizon BCBS currently combines your highest average reimbursement with your lowest denial rate.
Average reimbursement$148
Denial rate3.2%
Days to payment19
PayerFight GradeA
Revenue opportunity trend
PayerFight identified 22% more potential revenue leakage this quarter than last quarter.
Change in potential opportunities+22%
Annual impact and revenue-at-risk estimates are projections, not additional identified revenue. They are not added to the $47,382 opportunity total.