Revenue Opportunities

Revenue your practice may be missing. Clear next steps to pursue it.

Potential Revenue

$47,382

25 identified opportunities · 6 payers

Every opportunity is grounded in your synthetic payment records and reimbursement terms. Review the evidence before starting recovery.

Opportunity	Payer	Claims Affected	Potential Recovery	Confidence	Status
90837 reimbursement discrepancy Potential Underpayment	UUnitedHealthcare	42	$6,804	High confidence	New
Recurring denial pattern Appealable Denial	UUnitedHealthcare	12	$4,860	High confidence	Under Review
Reimbursement rate discrepancies Potential Underpayment	aAetna	11	$4,820	High confidence	Under Review
Denial pattern detected Appealable Denial	aAetna	18	$4,212	High confidence	Recovery Started
Reimbursement rate discrepancies Potential Underpayment	HHorizon BCBS	17	$3,400	High confidence	Awaiting Payer
Payment variance Contract Variance	CCigna	31	$3,348	Medium confidence	Under Review
Reimbursement rate discrepancies Potential Underpayment	CCigna	14	$2,900	High confidence	Recovery Started
Recurring denial pattern Appealable Denial	CCigna	18	$1,900	High confidence	Awaiting Payer
Reimbursement rate discrepancies Potential Underpayment	UUnitedHealthcare	8	$1,616	High confidence	New
Recurring denial pattern Appealable Denial	HHorizon BCBS	21	$1,600	High confidence	Recovered
Contract reimbursement variance Contract Variance	HHorizon BCBS	25	$1,300	High confidence	Not Pursued
Contract reimbursement variance Contract Variance	aAetna	19	$1,200	High confidence	Awaiting Payer
Reimbursement rate discrepancies Potential Underpayment	oOscar	20	$1,200	High confidence	Recovered
Unusual payment adjustments Other Revenue Leakage	+Other	35	$1,161	Medium confidence	Recovery Started
Unusual payment adjustments Other Revenue Leakage	HHorizon BCBS	29	$1,106	Medium confidence	New
Reimbursement rate discrepancies Potential Underpayment	+Other	23	$900	High confidence	Not Pursued
Recurring denial pattern Appealable Denial	oOscar	24	$800	High confidence	Not Pursued
Unusual payment adjustments Other Revenue Leakage	oOscar	32	$712	Medium confidence	Under Review
Contract reimbursement variance Contract Variance	UUnitedHealthcare	16	$650	High confidence	Recovery Started
Unusual payment adjustments Other Revenue Leakage	aAetna	23	$608	Medium confidence	Recovered
Unusual payment adjustments Other Revenue Leakage	CCigna	26	$573	Medium confidence	Not Pursued
Contract reimbursement variance Contract Variance	oOscar	28	$500	High confidence	New
Recurring denial pattern Appealable Denial	+Other	27	$448	High confidence	New
Contract reimbursement variance Contract Variance	+Other	31	$414	High confidence	Under Review
Unusual payment adjustments Other Revenue Leakage	UUnitedHealthcare	20	$350	Medium confidence	Awaiting Payer