Claims, remittance, and denial data sit inside your practice management system every day. We pull it out, sort it by payer and reason, and hand your team a report they can read in five minutes, the same week, not a quarterly file nobody opens.
A cardiology practice loses revenue differently than a behavioral health group. Bundled procedures, prior-auth denials, and payer-specific downgrades don’t show up the same way twice. A dashboard built for one specialty flattens all of that into numbers that don’t point anywhere useful.
Charges reviewed against current-year codes, not last year’s fee sheet.
Coordination-of-benefits errors flagged before they turn into write-offs.
Data pulled directly from Athenahealth, eClinicalWorks, and other connected systems.
Aging tracked by payer and by provider, not just as one total.
| Report | What it Shows | Why it Matters |
|---|---|---|
| Denial Reason Breakdown | Denials sorted by payer, CPT code, and denial reason, not just a total count. | Shows whether it's a coding pattern or a specific payer problem. |
| Coordination of Benefits Review | Patients with dual coverage flagged where primary and secondary order looks wrong. | COB mistakes are one of the most common and avoidable causes of claim write-offs. |
| Payer-wise AR Aging | Outstanding balances bucketed by 30, 60, and 90+ days, split by payer versus patient. | Tells you which payer to call, not just how much is owed |
| Provider Productivity Report | Procedures billed, collected, and adjusted per provider and per payer. | Useful for scheduling, staffing, and associate compensation conversations |
| Fee Schedule & Downgrade Watch | Tracks where insurers are downgrading or bundling codes below contracted rates. | Catches slow revenue leakage that's easy to miss claim by claim |
| Monthly Performance Digest | A short, plain-language recap: what improved, what didn't, and what to do next | Built to be read in five minutes, not filed away |
Claims, remits, and denials pulled from your PMS with no re-keying or manual export.
A credentialed coder checks the data against current CPT and payer guidance before it hits a report.
Payments matched against expected reimbursement to surface underpayments and downgrades.
Findings organized into the six reports above, in plain language, not raw spreadsheet output.
We flag the two or three fixes worth doing this week, not a fifty-item list.
A three-provider practice was writing off a steady stream of coordination-of-benefits claims each month. No one had flagged it because each individual write-off looked small on its own.
A three-provider practice was writing off a steady stream of coordination-of-benefits claims each month. No one had flagged it because each individual write-off looked small on its own.
A monthly COB audit report caught the pattern in week one: secondary claims for a specific plan type were being filed in the wrong order. Fixing intake verification for that plan resolved most of it going forward.
Illustrative example based on a common pattern we see across billing clients. Individual results vary by payer mix, plan types, and existing workflow.
Reports are reviewed by A2Z billing staff trained specifically in CPT and ICD-10 coding, not general billing clerks.
We connect to the PMS or EHR you already use. Nothing to migrate, nothing to reinstall.
Patient and claims data is handled under standard HIPAA safeguards throughout collection and reporting.
Every report includes a short summary, so you don't need a spreadsheet background to read it.
No. We connect to the PMS you already run and pull data from it directly.
We actually receive reports on a monthly basis, with the AR aging and denial breakdown available on request between cycles.
Your PMS shows raw transaction data. We sort it by payer, reason, and provider, and flag what's actually worth acting on.
It is useful for both but a single-provider practice often catches its first COB or downgrade pattern within the first reporting cycle.
Data is accessed and stored under HIPAA-aligned protocols, with access limited to staff working on your account.