Optix

Overview

Total Revenue Snapshot

Total Charges: $5.6M

Total Paid: $4.8M

% Paid: 86%

Avg. Days to Pay: 32.4 Days

% Denied: 6.5%

Scheduled Appointments Overview

Today: 402

Next 7 Days: 1,982

% Authorized: 91%

% No Show Rate: 7.6%

Eligibility & Authorization Watchlist

Patients Waiting: 62

Avg Wait Time: 3.4 Days

Max Wait Time: 11 Days

Payment Status & LockBox Summary

Payments Posted: $3.9M

Unposted: $442K

Undistributed: $212K

% Check vs Digital: 28% / 72%

Revenue Risk Center

⚠️ 8 Claims stuck in Clearinghouse 5+ days
🔴 $1.2M in denials from BCBS last week
⚠️ LockBox Undistributed funds rising

Claim Lifecyle Summary

Stage	Count	Avg Days	Alerts
PAS	420	2.1	⚠️ 5 delayed
Coding	389	1.7	✅
Claim Prep	372	0.6	✅
Clearinghouse	352	1.0	⚠️ 8 rejected
LockBox	298	4.3	✅

Top 5 Payers – Time to Pay & Denial Rate

Payer	Avg Days to Pay	% Paid	% Denied
United Healthcare	29.2	88%	4.1%
BCBS	33.8	83%	6.7%
Medicare	27.1	92%	2.5%
Medicaid	41.5	79%	9.0%
Aetna	30.3	86%	5.3%

Client Score Cards

Springfield Medical

Score Index: 94.6%

Denial Rate: 2.3%

Northgate Hospital

B+

Score Index: 88.1%

Denial Rate: 4.5%

Riverside Pediatrics

Score Index: 76.4%

Denial Rate: 7.2%

Wellness First Clinic

D-

Score Index: 63.8%

Denial Rate: 12.6%

Lakeside Family Health

Score Index: 52.0%

Denial Rate: 17.4%

Greenview Cardiology

A-

Score Index: 91.2%

Denial Rate: 3.1%

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Pending Eligibility & Authorization

P037 via General Med

Service Date: 2025-04-24 - Days in System: 10

Pending

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P017 via General Med

Service Date: 2025-04-24 - Days in System: 8

Pending

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P015 via General Med

Service Date: 2025-04-24 - Days in System: 10

Pending

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