Copilot triage suggestion
AI4 exceptions are unowned ($38k at risk). Most match an owner with >85% historical resolution rate on the same payer. I can also draft 7 Aetna appeal letters from the CO-197 pattern in EX-1042 (historical overturn rate: 71%).
Click any KPI, stage bar, owner, or exception row to drill in.
Dollars at risk by RCM stage
Click a bar to drill in (and filter the workqueue)
Owner load
Click an owner to drill in
Exception workqueue
10 of 10 · $131k at risk · click a row to drill
| ID | Priority | Stage | Practice | Payer | Amount | Age | Owner | Status | |
|---|---|---|---|---|---|---|---|---|---|
| EX-1042 | P1 | Denials | Cedar Hills | Aetna | $18,420 | 12d | S. Chen | Escalated | |
| EX-1041 | P1 | AR > 90d | Lakeshore | BCBS | $24,850 | 96d | J. Park | In progress | |
| EX-1039 | P1 | Denials | Cedar Hills | Medicare | $9,120 | 8d | AI | Open | |
| EX-1038 | P1 | AR > 90d | Lakeshore | Aetna | $31,200 | 124d | J. Park | Escalated | |
| EX-1037 | P2 | Claim rejections | Northgate | UHC | $6,480 | 4d | M. Alvarez | In progress | |
| EX-1035 | P2 | Coding backlog | Summit | — | $14,200 | 6d | AI | Open | |
| EX-1034 | P2 | Denials | Riverside | Cigna | $7,820 | 9d | S. Chen | In progress | |
| EX-1031 | P2 | Unsigned notes | Harbor | — | $11,400 | 11d | AI | Open | |
| EX-1029 | P3 | Unposted cash | Northgate | BCBS | $4,280 | 3d | K. Liu | In progress | |
| EX-1028 | P3 | Charge entry | Riverside | — | $3,120 | 2d | AI | Open |