2026About $112,000 collected that was hiding in the billing data
The result
About $186,000 turned up. Billing staff checked and corrected each eligible claim.
How it worked
An eight-provider practice figured collections were down because insurers were paying less. That’s what everyone assumes. We pulled authorized exports from their athenahealth system, clearinghouse reports, electronic remittances and payer fee schedules, and matched visits to claims, payments and contractual allowances. AI read the denial explanations and grouped problems the normal reports scattered across hundreds of categories. Plain matching rules did the arithmetic. Out came old claims never resubmitted, charges that never reached the clearinghouse, and underpayments written off by mistake. Billing staff checked and corrected each eligible claim. About $186,000 turned up. About $112,000 was actually collected.