Authorization number missing
Claim SP-10492 · Military health plan · Dr. Jordan Kim
Practice revenue workspace · sample data
Billing at a glance
Sample view for a six-provider group practice · 1,000 claims/month
1,000
Sample claim report
10% → 6.8%
Pilot trend
$0
Sample recovery
31
Down from 42 days
$12k
Awaiting review
Denial rate: before vs. pilot target
Sample monthly comparison
Highest-impact next action
Most denials this month trace to missing authorizations.
Denied claims · grouped by reason
Nothing is resubmitted or sent without team approval.
| Reason | Payer | Provider | Claims | Suggested fix | |
|---|---|---|---|---|---|
| Missing authorization | Military health plan | Dr. Jordan Kim | 24 | Verify authorization number and append to corrected claim. | |
| Wrong code | Commercial payer A | Casey Morgan, LCSW | 17 | Review service/diagnosis code alignment. | |
| Eligibility | Military health plan | Priya Shah, LPC | 11 | Confirm active coverage for date of service. | |
| Timely filing | Commercial payer B | Alex Reed, LMFT | 8 | Check documentation and escalation path. |
Claims ready for pre-check
Three sample claims have likely problems before submission.
Diagnosis doesn’t match service
Claim SP-10497 · Commercial payer A · Priya Shah, LPC
Eligibility should be rechecked
Claim SP-10501 · Military health plan · Casey Morgan, LCSW
Corrected claim cover note
Claim: SP-10381 · Payer: Military health plan
To the claims review team:
We are submitting a corrected claim for review. The authorization reference was omitted from the original sample submission. The corrected record now includes the authorization details and supporting documentation.
This is a draft prepared from sample data. A billing team member must review and approve before sending.
Thank you,
Sample Billing Team
09:14 AMImported a sample claim report exported from SimplePractice.
09:15 AMGrouped 60 sample denials by reason, payer, and provider.
09:16 AMFlagged 3 sample claims before submission.