Claims that go quiet
Know where every claim actually is.
Claims do not usually fail loudly. They sit. Tracking where each one is turns the ones that have gone quiet into something you can act on while there is still time to act, rather than something you find during a year-end review.
Claims in flight
Diagnostic imaging: Pending. Pending 26 days.
Where this claim is
Submitted
8 Sep
Accepted
9 Sep
Paid
Not yet
This payer usually pays within 44 days, so it is not late yet, but it is the oldest open claim in the batch and worth watching.
Payer names are fictional and amounts are illustrative.
Sample claims in flight for one practice. Payer names are fictional and amounts are illustrative.
What it does
It tracks where each claim actually is, from submitted through pending, paid or denied, and ties that back to any finding the claim belongs to.
What you get
The claims that have gone quiet, while there is still time to do something about them. A claim sitting untouched past the point where it usually moves is the cheapest problem to catch.
Why you can trust it
Status is shown with the date it was last confirmed. Where a claim connects to an audit finding, that link is visible from both sides.
Works with the rest of Incura
Claims that came back and stayed back
Denials
Denials grouped by what actually caused them, so rework effort goes where it will be paid rather than to whatever is on top of the pile.
Denials last month, by root cause
Forty nine denials across four causes. Select one to see the claims behind it.
Office visit, established patient
Meridian Care. Plan terminated 9 days before the visit.
$610
Diagnostic imaging
Cardinal Mutual. No approval on file at submission.
$1,240
Minor procedure
Northbridge Health. Modifier missing on a paired service.
$845
Follow-up visit
Keystone Benefit. Coverage active under a different plan.
$385
Laboratory panel
Meridian Care. Filed 11 days past the window.
$296
Specialist consultation
Vantage Blue. Approval expired before the visit.
$720
Preventive visit
Cardinal Mutual. Service coded as diagnostic, not preventive.
$430
Office visit, new patient
Summit Health Plan. Deductible plan not yet effective.
$515
Showing 8 of 8 sample claims. Payer names are fictional.
Find out what last month actually was.
It starts with one short call. We will walk you through what an independent check of your billing looks for and what it turns up, with no commitment, nothing to install, and no change to how your practice runs.
We usually reply within one business day.