Reconciliation & Settlement
Track settlements, manage denials, and resolve variances
$4.2M
Claims Submitted
2,847 claims
$3.8M
Payments Received
2,456 settled
$320K
Pending Settlement
Avg 18 days
$89K
Denied Claims
47 denials
94.2%
Recovery Rate
vs 93.0% prior
23
Open Disputes
$45.2K value
Settlement Pipeline
$4.2M
Submitted
2,847 claims
$4.0M
Received
2,756 claims
$890K
Under Review
234 claims
$3.1M
Approved
2,189 claims
$450K
Payment Pending
156 claims
$3.8M
Settled
2,456 claims
Variance by Vendor
Johnson & Johnson
-$23.4K
Medline
-$15.2K
Cardinal Health
+$4.5K
McKesson
-$8.9K
Henry Schein
+$2.1K
Top Denial Reasons
View All
Customer not eligible
$40.1K
(45%)
Price discrepancy
$22.3K
(25%)
Item not covered
$13.4K
(15%)
Period mismatch
$8.9K
(10%)
Other
$4.5K
(5%)
Claims Aging Analysis
| Age Bucket | Claims | Value | % of Total | Status | Actions |
|---|---|---|---|---|---|
| 0-30 days | 245 | $450,200 | 35% | On track | |
| 31-60 days | 156 | $234,100 | 18% | Monitor | |
| 61-90 days | 89 | $145,300 | 11% | Follow up | |
| 90+ days | 45 | $89,400 | 7% | Escalate |