Revenue Control Center

Claims management · Denial recovery · Revenue protection · AR aging

$3,780 Revenue at Risk — 3 Claims Require Action

Denied and pending-correction claims must be resubmitted within your MCO timely filing window (90–180 days from service date). Every day of delay increases write-off risk.

Top denial reason: Authorization Expired

Collection Efficiency

79%collection rateMODERATE

$8,784 collected of $11,116 billed MTD

Revenue at Risk

$3,780

3 claims need resubmission

Total Denied MTD

$2,884

2 claims denied this month

Total AR Aging

$2,548

30-day: $1,008 · 60-day: $1,540

Paid MTD

$8,784

7 of 10 claims paid

Monthly Revenue Trend

FebMarApr$0k$3k$5k$8k$10k

Top Denial Reasons

Authorization Expired
EVV Mismatch
Eligibility Inactive

Action: Address top denial reason first. Each resubmission window is 90–180 days from service date.

10 Claims

3 require action · $3,780 at risk

Charles Henry Davis

CLM-2026-0403ACTION REQUIRED
Peach State HealthService: 2026-04-01Authorization Expired

$1,344

At risk: $1,344

Denied

Evelyn Grace Carter

CLM-2026-0406ACTION REQUIRED
Peach State HealthService: 2026-03-01EVV Mismatch

$1,540

At risk: $1,540

Denied

Robert Earl Thompson

CLM-2026-0410ACTION REQUIRED
WellCareService: 2026-04-01Eligibility Inactive

$896

At risk: $896

Pending Correction

Dorothy Mae Johnson

CLM-2026-0401
AmerigroupService: 2026-04-01

$1,120

Paid: $1,120

Paid

Evelyn Grace Carter

CLM-2026-0402
Peach State HealthService: 2026-04-01

$1,540

Paid: $1,540

Paid

Ruth Annette Baker

CLM-2026-0404
AmerigroupService: 2026-04-14

$112

At risk: $112

Submitted

Dorothy Mae Johnson

CLM-2026-0405
AmerigroupService: 2026-03-01

$1,120

Paid: $1,120

Paid

Charles Henry Davis

CLM-2026-0407
Peach State HealthService: 2026-03-01

$1,344

Paid: $1,344

Paid

Dorothy Mae Johnson

CLM-2026-0408
AmerigroupService: 2026-02-01

$1,120

Paid: $1,120

Paid

Evelyn Grace Carter

CLM-2026-0409
Peach State HealthService: 2026-02-01

$1,540

Paid: $1,540

Paid

Accounts Receivable Aging

Total AR: $2,548

0–30 Days

$1,008

Current

31–60 Days

$1,540

Follow up

61–90 Days

$0

Escalate

90+ Days

$0

Write-off risk