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Revenue Opportunities

UnitedHealthcare — Reimbursement rate discrepancies

Potential Underpayment

Potential recovery
$1,616
8 affected claimsHigh confidence

PayerFight detected that these claims appear inconsistent with the reimbursement terms currently on file for this payer.

The financial difference

Contracted reimbursement$142.00benchmark per service
Average actual reimbursement$119.00benchmark per service
Average difference$23.00illustrative benchmark

The comparison above illustrates the reimbursement benchmark. This opportunity also includes denial or payment adjustments, so its potential recovery is not calculated from the benchmark alone.

Affected claims

8 claims identified for review

Claim IDProviderDate of ServiceCPTBilledExpectedPaidDifferenceStatus
8 claims are included in this synthetic aggregate finding. Claim-level evidence is available when you prepare the recovery case.