Operations Dashboard
Active Claims
312
↑ 9% vs last week
On-Time SLA
97.2%
↑ 1.4%
Avg. Turnaround
3.6h
↓ 42 min
Auth Approval Rate
94.8%
↑ 2.1%
Error / Rework
0.9%
↓ 0.3%
| Claim / Auth ID | Payer / Client | Process Type | Priority | Status | SLA Due | Assignee |
|---|
Submit New Claim / Authorization Batch
Claims & Authorization Board
CLM-88421 · Medical Claim Processing
National Employer Group · High Priority · SLA Due Today 15:30 · Assignee: Rachel Thompson
Batch Details
Volume
180 claims
180 claims
Processed
142 / 180
142 / 180
Assignee
Rachel Thompson
Rachel Thompson
Created
Today 08:47
Today 08:47
Instructions
Validate CPT/HCPCS against diagnosis. Flag lines > $8,000 or missing pre-auth. Return clean 837-ready data.
Validate CPT/HCPCS against diagnosis. Flag lines > $8,000 or missing pre-auth. Return clean 837-ready data.
Processed Claim Line Items (sample of 32)
| Claim # | Member ID | CPT / Procedure | Billed Amt | Status |
|---|
Activity Timeline
-
Today 08:47Batch received & auto-routed
-
Today 08:51Assigned to Rachel Thompson
-
Today 10:15142 of 180 claims processed
-
Today 11:404 claims flagged for missing auth
-
Today 13:053 coding questions raised
-
NowIn progress – 79% complete
Client portal example
Open Items
47
Completed (30d)
1,128
On-Time %
97.6%
Avg Turnaround
3.4h
| Reference | Type | Submitted | Status | ETA / Completed | Action |
|---|
Recent Activity
- AUTH-3384 approved – Eligibility confirmed for member MBR-440291Today 11:12
- Document request sent for AUTH-3391 – clinical notes requiredToday 10:48
- CLM-88421 batch 79% complete – 4 high-dollar claims flaggedToday 11:40
- CLM-88351 completed – 156 clean claims ready for downloadYesterday 16:22
- AUTH-3379 approved – Prior auth granted for CPT 27447Yesterday 14:05
- CLM-88328 completed – 142 claims processed, 0 rework2 days ago
- AUTH-3362 approved – Eligibility verified for MBR-1183922 days ago
- CLM-88291 completed – Procedure coding review closed3 days ago
- AUTH-3355 approved – Prior authorization for total hip (27130)3 days ago
- CLM-88274 completed – 98 claims, all clean4 days ago
- AUTH-3348 returned – Additional clinical documentation requested4 days ago
- CLM-88251 completed – Denial reprocessing finished5 days ago
- AUTH-3339 approved – Eligibility check for new member group5 days ago
- CLM-88219 completed – 210 claims processed under standard SLA6 days ago
- AUTH-3331 approved – Prior auth for knee arthroscopy (29881)6 days ago
- CLM-88187 completed – High-volume professional claims batch1 week ago
- AUTH-3324 approved – Facility claim authorization cleared1 week ago
- CLM-88152 completed – Coding review with 3 corrections applied1 week ago
- AUTH-3317 approved – Eligibility verification completed8 days ago
- CLM-88108 completed – 175 claims, SLA met at 3.2 hours8 days ago
- AUTH-3309 approved – Prior authorization for CPT 453789 days ago
- CLM-88076 completed – Clean claim batch delivered9 days ago
- AUTH-3301 returned – Missing operative report requested10 days ago
- CLM-88041 completed – 132 claims processed successfully10 days ago
Performance & Client Reports
Claims Completed (30d)
2,841
Auths Completed (30d)
647
Overall Accuracy
99.1%
Fee / Claim
$150
Volume by Process Type
Current record status
Payer / Client Performance
| Client | Records | Volume | Completed | Within SLA | Avg. completion time |
|---|