steward./ Executive dashboard
Money left on the table
$1K
Recoverable in the next 60 days
Priority
Denials appealable
$1K
4 claims
Underpayments
$0
needs contract rates
Unbilled encounters
$0
needs scheduling data
✦ AI executive summary· grounded in 837/835 + scheduling data

## Executive Summary **Provider 3210** has a 100% denial rate on 8 encounters this month, generating zero revenue despite significant activity. All denials stem from Health Net CO-27 (patient eligibility) claims totaling $2,396. This pattern indicates either a credentialing lapse with Health Net or systematic eligibility verification failures at intake. With $1,198 recoverable in the next 60 days (all from appealable denials within timely filing), fixing this issue is urgent. Overall MTD denial rate stands at 67%, suppressing net collections to just 29% and driving Days in AR to 52. Provider 2109 is performing normally with 4 encounters, $980 PPS revenue, and 0% denials. **Immediate action:** Verify Provider 3210's Health Net credentialing status and enrollment; if valid, implement pre-visit eligibility checks for all Health Net members to prevent CO-27 denials at the front end.

✦ Ask Steward

grounded in your data · no PHI sent
Total AR
$2.4K
MTD
Days in AR
52
target 45
Net collections
29.0%
MTD
Encounters
12
MTD
PPS revenue
$980
MTD
Denial rate
66.7%
MTD
No-show rate
14.8%
MTD
Top payer share
63%
Medi-Cal MCO

Top denial reasons

claim count · MoM change
  • CO-27Coverage terminated / member not enrolled on DOS2—

Provider productivity

encounters � revenue � denial rate
  • Provider 2109NPI 87654321094$9800%
  • Provider 3210NPI 98765432108$0100%