Horizon BCBS
PayerFight Grade: A · Financial performance over the last 12 months
HA
Total paid$346,780
Claims analyzed982
Total opportunity$7,406
Denial rate3.2%
Potential underpayments$3,400
Appealable denials$1,600
Expected vs Actual Reimbursement
Average payment per service line · 90837
Top Issues
Potential revenue that warrants a closer look
Category totals include $1,300 in contract variances and $1,106 in other revenue leakage. Issue groupings can span categories and sum to the same $7,406 total opportunity.