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Payer Intelligence

Aetna

PayerFight Grade: B+ · Financial performance over the last 12 months

B+
Total paid$368,920
Claims analyzed1,106
Total opportunity$10,840
Denial rate7.2%
Potential underpayments$4,820
Appealable denials$4,212

Expected vs Actual Reimbursement

Average payment per service line · 90837

Top Issues

Potential revenue that warrants a closer look

Category totals include $1,200 in contract variances and $608 in other revenue leakage. Issue groupings can span categories and sum to the same $10,840 total opportunity.