Tracked payers
6
Commercial + Govt + Self-pay
Weighted clean claim
+0.4pp94.2%
Target: ≥ 95%99% to goal
Weighted days to pay
-1.2d26.1d
Target: ≤ 25d96% to goal
Open underpayments
+$6k$98k
Vs contracted fee schedule
Target: ≤ $50k51% to goal
Payer intelligence brief
AIAetna is your single largest leakage source: $42.1k underpaid (-3.6% vs contract), 9.4% denial rate, 31d to pay. Copilot identified 18 CPT-99214 lines underpaid by $40–$72 each across 6 practices — file a batch contract-variance dispute today.
Payer leaderboard
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| Payer | Mix | Clean % | DTP | Denial % | Underpaid | Contract | Trend |
|---|---|---|---|---|---|---|---|
BCBS On track | 28% | 96.2% | 22d | 6.8% | $18.4k | -1.2% | |
Aetna Action | 21% | 91.4% | 31d | 9.4% | $42.1k | -3.6% | |
UHC Watch | 18% | 93.7% | 26d | 7.1% | $21.8k | -1.9% | |
Cigna On track | 12% | 94.8% | 24d | 6.2% | $9.8k | -0.4% | |
Medicare On track | 15% | 97.1% | 18d | 4.9% | $6.2k | -0.2% | |
Self-pay Watch | 6% | 88.0% | 52d | 0.0% | $0.0k | 0.0% |
Aetna · profile
Prior-auth denials trending up; underpayments concentrated in CPT 99214.
Days to pay
31d
Denial rate
9.4%
Underpaid
$42.1k
Contract var
-3.6%
Underpayment by payer
Estimated $ vs contracted fee schedule