Example Managed Care
- Resolved
- 3
- Favorable
- 2
- Observed rate
- 100%
- Recovered
- $24,200
Dashboard
Dashboard
ClaimParrot for Professionals
Patients / clients
3
Denials in workflow
8
Resolved this month
2
Logged recovered value
$48,200
30-day design-partner pilot
Paired operational measurements entered by your team. This is workflow evidence, not a reimbursement forecast or clinical-quality measure.
Paired cases
5/8
Cases with both a previous-workflow and ClaimParrot time
Median time saved
46 min
58.2% median reduction in measured preparation time
Accepted without rework
80%
4 of 5 reviewed packets
Evidence gaps caught
9
4/5 average reviewer score across 5 cases
Use this scorecard with the outcome report and reviewer corrections when deciding whether to continue after the pilot.
Measure a caseResults recorded by your team. These figures describe completed work and are not AI predictions or guarantees.
De-identified operational data
Export CSVOutcome coverage
75%
6 of 8 denials closed with a result
Observed favorable rate
80%
4 of 5 adjudicated results
Recovered value
$48,200
78.5% of resolved value at issue
Median turnaround
22 days
Appeal submission to recorded resolution when available
Compare only after recording enough outcomes for each payer; small samples can be misleading.
| Payer | Resolved | Favorable | Observed rate | Recovered | Median days |
|---|---|---|---|---|---|
| Example Managed Care | 3 | 2 | 100% | $24,200 | 22 days |
| Example Health Plan | 3 | 2 | 66.7% | $24,000 | 22 days |
Triage de-identified denials with a transparent work score, assign an owner, prepare the evidence packet, and record the final outcome.
| Case | Payer / codes | Work score | Deadline | Priority | Owner | Stage | Result | |
|---|---|---|---|---|---|---|---|---|
BH-1088 Continued stay requires additional clinical documentation. CLIENT-1088 / Php / $12,800 | Example Health Plan CO-151N386 | 82/ 100 Urgent workflow urgency Deadline within 7 days: +30 Amount at issue: +20 | Due Oct 11 | Open packet | ||||
BH-1042 Medical necessity documentation was incomplete. CLIENT-1042 / Iop / $6,400 837 matched / 2 submitted lines | Example Health Plan CO-50N115 | 58/ 100 Priority workflow urgency Deadline within 14 days: +20 Amount at issue: +15 | Due Oct 18 | Open packet |
BH-1088
Continued stay requires additional clinical documentation.
Work score
82 / 100
Deadline within 7 days: +30 / Amount at issue: +20
Workflow urgency only, not appeal success probability.
Deadline
Due Oct 11
BH-1042
Medical necessity documentation was incomplete.
Work score
58 / 100
Deadline within 14 days: +20 / Amount at issue: +15
Workflow urgency only, not appeal success probability.
Submitted claim context
837 matched
$6,400 submitted / POS 11
H0015-HF / 12 UN / $3,200
90853 / 8 UN / $3,200
Deadline
Due Oct 18
| Patient / Client | Active Denials | Last Activity | Logged Value | Actions |
|---|---|---|---|---|
IOP Case 1042 | 2 | Oct 6 | $9,800 | |
PHP Case 1088 | 1 | Oct 4 | $4,200 | |
Residential Program Queue | 5 | Oct 6 | $34,200 |